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Individual

DR. STEFANIE JOY MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
18800 PRESTON ROAD, SUITE 314, DALLAS, TX 75252
(972) 312-9292
(972) 312-9995
Mailing address
18800 PRESTON ROAD, SUITE 314, DALLAS, TX 75252
(972) 312-9292
(972) 312-9995

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
H8244
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048CU
BCBS PROVIDER NUMBER
TX
Enumeration date
10/02/2006
Last updated
09/26/2007
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