person
Stacy R. Moretta, PA
Medical Physician Assistant in Irving, Texas
NPI 1639309461

Stacy R. Moretta is a Medical Physician Assistant based in Irving, TX and is specialized in Medical. Stacy R. Moretta practices in Irving, TX and has the professional credentials of PA. The NPI Number for Stacy R. Moretta is 1639309461 and holds a License No. PA06061 (Texas).

The current practice location address for Stacy R. Moretta is 6161 N State Highway 161, Irving, TX and can be reached out via phone at 972-258-7499 and via fax at 972-257-0897. You can also correspond with Stacy R. Moretta through the mailing address at 6161 N STATE HIGHWAY 161, IRVING, TX - 75038-2220 (mailing address contact number: 972-258-7499).

Location: 6161 N State Highway 161, Irving, TX, 75038-2220
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Provider Profile Details
NPI Number
1639309461
Provider Name
Stacy R. Moretta
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6161 N State Highway 161, Irving, TX, 75038-2220
Phone Number
972-258-7499
Fax Number
972-257-0897
Provider Enumeration Date
07/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
467551YZNA 01 TX MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
6161 N State Highway 161
City
State
Zip
75038
Phone Number
972-258-7499
Fax Number
972-257-0897
person
Provider Business Mailing Address Details
Address
6161 N State Highway 161
City
State
Zip
75038
Phone Number
972-258-7499
Fax Number
972-257-0897
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA06061 (Texas)
Definition
Definition to come...
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