Organization
AUTUMN E STOOS, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN E STOOS DO (OWNER)
(817) 516-8811
Entity
Organization
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3755
(817) 516-8811
(817) 516-8444
Mailing address
PO BOX 740693, DALLAS, TX 75374-0693
(817) 516-8811
(817) 516-8444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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