Provider Information for 1144880022
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RACHAEL MUNOZ STANPHILL
Sex: Female
NPI: 1144880022
Last Updated: 2023-01-30
Certification Date: 2023-01-30
Certification Date: 2023-01-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144880022 | ||||||||||||
| Enumeration Date | 2019-06-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4250 MORGANS WAY MIDLOTHIAN, TX 76065-7097 United States Phone: 214-498-7566 | Fax: | ||||||||||||
| Primary Practice Address | 9941 LINGO LN DALLAS, TX 75228-3349 United States Phone: 972-502-4007 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 4250 MORGANS WAY | ||||||||||||
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