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Individual

STEPHANIE LYNN HENNIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3140 HORIZON RD STE 101, ROCKWALL, TX 75032-7805
(972) 664-0644
(972) 664-0301
Mailing address
3140 HORIZON RD STE 101, ROCKWALL, TX 75032-7805
(972) 664-0644
(972) 664-0301

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
A96157
CA
207RR0500X
Rheumatology Physician
Primary
M9353
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194516401
TX
05
194516402
TX
05
194516406
TX
Enumeration date
08/03/2006
Last updated
02/01/2017
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