# STACY'S DIABETIC SHOE SERVICE, L.L.P

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558452110
- **Authorized official:** MS. STACY DONNIA CHRISTMAN C.PEDORTHIST (CERTIFIED PEDORTHIST)
- **Authorized official phone:** (972) 705-7210

## Contact information

- **Practice address:** 7305 STONE HEARTH DR, FRISCO, TX 75035-2952
- **Practice address phone:** (214) 705-7210
- **Mailing address:** 7305 STONE HEARTH DR, FRISCO, TX 75035-2952
- **Mailing address phone:** (972) 377-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3090 | TX | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020