Individual
STACY THEODORE STEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M5938
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M5938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200793430A
—
OK
01
—
217691903
TEXAS PROVIDER NUMBER
TX
05
—
217691905
—
TX
05
—
217691906
—
TX
05
—
99351862
—
NM
Enumeration date
12/05/2006
Last updated
01/07/2026
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