Ms. Sandy L Stetz
Physician Assistant

Address: 301 Trophy Lake Dr Unit 136, Trophy Club, TX 76262-5237
Phone: 8174309111

Ms. Sandy L Stetz (NPI# 1831199140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831199140
Entity Type Individual
Full Name Ms. Sandy L Stetz
Credential P.A.-C., M.ED.
Gender Female
Practice Address 301 Trophy Lake Dr Unit 136
Trophy Club
TX 76262-5237
Practice Telephone 8174309111
Practice Fax Number 8174308911
Mailing Address 2628 Long Prairie Rd
Suite 107
Flower Mound
TX 75022-4839
Mailing Telephone 9725393695
Mailing Fax Number 9725395419
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-07-28
Last Update Date 2015-07-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA05438 TX
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA05438 TX

Physician Overview

NPI 1831199140
PAC ID by PECOS 4880640549
Professional Enrollment ID I20160223001859
Full Name Sandy Stetz
Organization Legal Name LUMINCARE PHYSICIAN GROUP PA
Phone Number 9722686338
Gender F
Credential PA
Graduation Year 1987
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4880998780
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Office Location

Street Address 301 TROPHY LAKE DR UNIT 136
City TROPHY CLUB
State TX
Zip Code 76262-5237

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730257643 Texas Em-1 Medical Services, Pa Physician Assistant 2850 E. State Highway 114, Trophy Club, TX 76262 2006-11-30
1275577900 Beck Emergency Physicians Physician Assistant 2850 State Highway 114 E, Trophy Club, TX 75146 2006-06-15
1114396777 Daria Tzu Lie Physician Assistant 945 Trophy Club Dr, Trophy Club, TX 76262-5580 2015-09-24
1356472559 Carol A Addy Physician Assistant 945 Trophy Club Dr, Trophy Club, TX 76262-5580 2007-03-08

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Competitor

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City TROPHY CLUB
Zip Code 76262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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