Individual
ERICA DENISE STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
Mailing address
185 BIRCH RD, BIG SANDY, TX 75755-4628
(903) 360-7991
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
173289
TX
Other
Enumeration date
05/30/2017
Last updated
03/17/2018
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