Individual
DAVID RICHARD STAGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 W 15TH ST, A110, PLANO, TX 75075-4737
(972) 758-0625
(972) 964-5725
Mailing address
3801 W 15TH ST, A110, PLANO, TX 75075-4737
(972) 758-0625
(972) 964-5725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J1572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129544605
—
TX
05
—
129544606
—
TX
Enumeration date
05/10/2006
Last updated
07/30/2015
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