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Search › Texas › 208D00000X

Stacy Fennell, D.O

NPI 1477846582 · on the registry since 2011

Practice

Address
3851 Roger Brooke Dr
Mche-Emr
Fort Sam Houston, TX 78234
Phone
(210) 292-7626
Organisation at this address
Bamc
Dfasin-Adimb U.S. Army
San Antonio Military Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
365

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas