Individual
DR. CHARLES COLIN STACY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 340, ALLEN, TX 75013-6103
(972) 747-5101
(972) 747-5103
Mailing address
1105 CENTRAL EXPY N, SUITE 340, ALLEN, TX 75013-6103
(972) 747-5101
(972) 747-5103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H0840
TX
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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