Individual
VIRGINIA I. STARK-VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, C-648, DALLAS, TX 75230
(972) 566-2622
(972) 566-2625
Mailing address
7777 FOREST LN., STE. C-648, DALLAS, TX 75230
(972) 566-2622
(972) 566-2625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J9819
TX
207RH0003X
Hematology & Oncology Physician
Primary
J9819
TX
Other
Enumeration date
05/16/2006
Last updated
10/01/2013
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