Provider Demographics
NPI:1568414530
Name:STELLMAN, HARRY MEYER IV (M D)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:MEYER
Last Name:STELLMAN
Suffix:IV
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-6163
Mailing Address - Fax:682-885-3113
Practice Address - Street 1:255 W LEBANON STE 104
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3412
Practice Address - Country:US
Practice Address - Phone:972-370-2425
Practice Address - Fax:972-370-2591
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4137208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics