Individual
STEPHANIE MICHELE MISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 W RALPH HALL PKWY STE 115, ROCKWALL, TX 75032-6697
(469) 800-3030
Mailing address
1005 W RALPH HALL PKWY STE 115, ROCKWALL, TX 75032-6697
(713) 449-0486
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S6898
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
12/02/2024
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