Individual
DAVID R STAGER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 W 15TH ST, A-110, PLANO, TX 75075-4737
(214) 281-1878
(972) 964-5725
Mailing address
3801 W 15TH ST, A-110, PLANO, TX 75075-4737
(214) 281-1878
(972) 964-5725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116650001
—
AK
05
—
120157601
—
TX
01
—
180008637
RAILROAD MEDICARE
TX
Enumeration date
05/10/2006
Last updated
07/30/2015
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