Individual
MICHAEL D STANLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
Mailing address
3412 CLEAR FORK TRL, FORT WORTH, TX 76109-2409
(817) 763-0945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
F7930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P085455F8
—
TX
Enumeration date
01/24/2006
Last updated
07/08/2007
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