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Individual

STEPHEN M TANKERSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 OAK LAWN, SUITE 370, DALLAS, TX 75219-4308
(214) 528-9240
(214) 559-0803
Mailing address
3500 OAK LAWN, SUITE 370, DALLAS, TX 75219-4308
(214) 528-9240
(214) 559-0803

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G0188
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00GH13
MEDICARE SUBMITTER ID
TX
Enumeration date
09/13/2006
Last updated
04/01/2020
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