Provider Demographics
NPI:1093335648
Name:STELIS, PLLC
Entity Type:Organization
Organization Name:STELIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-702-0777
Mailing Address - Street 1:1113 LAMPLIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5609
Mailing Address - Country:US
Mailing Address - Phone:469-702-0777
Mailing Address - Fax:412-324-7399
Practice Address - Street 1:4510 MEDICAL CENTER DR STE 314
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-6851
Practice Address - Country:US
Practice Address - Phone:469-702-0777
Practice Address - Fax:412-324-7399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty