Individual
DR. KRISTY R STUCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 566-2667
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 519-1940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L2018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A9404
BCBS
TX
Enumeration date
01/16/2006
Last updated
12/05/2007
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