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Individual
STACEY B. PEARLMAN
Active
Individual
STACEY B. PEARLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03099
TX
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
1790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218994601
—
TX
05
—
218994602
—
TX
Enumeration date
03/28/2006
Last updated
11/29/2024
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