Individual
DR. STACY THOMAS OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
515 W MAYFIELD RD STE 200, ARLINGTON, TX 76014-4596
(817) 468-4689
(817) 465-7872
Mailing address
515 W MAYFIELD RD STE 200, ARLINGTON, TX 76014-4596
(817) 468-4689
(817) 465-7872
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-126582
IL
207VG0400X
Gynecology Physician
Primary
R9874
TX
Other
Enumeration date
05/21/2007
Last updated
08/11/2020
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