Organization
ROCKWALL MEDICAL ASSOCIATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SHEPHERD STILES DO (OWNER)
(972) 771-1628
Entity
Organization
Contact information
Practice address
114 KENWAY ST, ROCKWALL, TX 75087-3536
(972) 771-1628
(972) 771-3670
Mailing address
114 KENWAY ST, ROCKWALL, TX 75087-3536
(972) 771-1628
(972) 771-3670
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
H-8853
TX
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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