Individual
DR. CURTIS STACY III
Active
Individual
DR. CURTIS STACY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., F.I.A.M.A.
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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