Provider Demographics
NPI:1083225007
Name:CALL, STORMI (PA)
Entity Type:Individual
Prefix:
First Name:STORMI
Middle Name:
Last Name:CALL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3642 SCRANTON LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-7460
Mailing Address - Country:US
Mailing Address - Phone:254-718-0899
Mailing Address - Fax:
Practice Address - Street 1:1680 ANTILLEY RD STE 321
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5279
Practice Address - Country:US
Practice Address - Phone:325-695-4969
Practice Address - Fax:325-695-4534
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15021363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty