Individual
STEPHANIE KATHRYN TEOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4231 CEDAR SPRINGS RD, DALLAS, TX 75219-2691
(214) 823-9652
(214) 823-4935
Mailing address
4231 CEDAR SPRINGS RD, DALLAS, TX 75219-2691
(214) 823-9652
(214) 823-4935
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2005-01643
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P2194
TX
Other
Enumeration date
04/24/2007
Last updated
12/02/2015
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