Individual
PAUL TIMOTHY STAVETEIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 PRESTON PARK BLVD STE 1200, PLANO, TX 75093-5293
(972) 867-7862
Mailing address
1820 PRESTON PARK BLVD, 1200, PLANO, TX 75093-3656
(972) 867-7862
(972) 612-1623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M0932
TX
Other
Enumeration date
06/25/2006
Last updated
08/15/2013
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