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Individual
DR. STACIE LYNN FLANERY
Active
Individual
DR. STACIE LYNN FLANERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-0868164
EMPLOYER ID
TX
01
—
606357
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/06/2007
Last updated
04/29/2019
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