Individual
SIOE S TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3330 S LANCASTER RD, LANCASTER KEIST ADULT OUTPATIENT CLINIC, DALLAS, TX 75216-4545
(214) 371-6639
(214) 372-6199
Mailing address
3330 S LANCASTER RD, LANCASTER KEIST ADULT OUTPATIENT CLINIC, DALLAS, TX 75216-4545
(214) 371-6639
(214) 372-6199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E8194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042889
—
TX
Enumeration date
08/14/2006
Last updated
08/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us