Individual
DR. STACY LYNN MCFAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
H9518
TX
2085R0202X
Diagnostic Radiology Physician
5392438-1204
UT
2085R0202X
Diagnostic Radiology Physician
Primary
H9518
TX
Other
Enumeration date
07/19/2005
Last updated
06/23/2015
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