Individual
STEPHANIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-5915
(214) 648-3111
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7200
(469) 867-5659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04530
TX
363AM0700X
Medical Physician Assistant
Primary
PA04530
TX
Other
Enumeration date
10/26/2012
Last updated
12/12/2024
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