Provider Demographics
NPI:1710985205
Name:STOKES, KATHLEEN DOOLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:DOOLEY
Last Name:STOKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6930 PARKWOOD BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0029
Mailing Address - Country:US
Mailing Address - Phone:972-335-4444
Mailing Address - Fax:972-335-0880
Practice Address - Street 1:6930 PARKWOOD BOULEVARD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0029
Practice Address - Country:US
Practice Address - Phone:972-335-4444
Practice Address - Fax:972-335-0880
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7686208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG03418Medicare UPIN