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Organization

ROCKWALL MEDICAL ASSOCIATION PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA S STILES D.O. (PHYSICIAN/OWNER)
(972) 288-7337
Entity
Organization

Contact information

Practice address
502 W KEARNEY ST, SUITE 700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076
Mailing address
502 W KEARNEY ST, SUITE 700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
H8853
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111465401
TX
05
111465402
TX
Enumeration date
04/25/2007
Last updated
09/21/2012
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