Individual
DR. CURTIS STACY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., F.I.A.M.A.
Contact information
Practice address
1010 W JASPER DR STE 1, KILLEEN, TX 76542-1328
(254) 200-0401
(254) 200-0405
Mailing address
1010 W JASPER DR STE 1, KILLEEN, TX 76542-1328
(254) 200-0401
(254) 200-0405
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
8758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
584770YY3L
MEDICARE
TX
05
—
C-06039379
—
TX
Enumeration date
10/28/2008
Last updated
08/07/2017
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