Provider Demographics
NPI:1952332876
Name:WOOLLEY, STEPHANIE MAY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MAY
Last Name:WOOLLEY
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 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:972-451-0219
Mailing Address - Fax:214-821-1193
Practice Address - Street 1:50 HOSPITAL DR STE 1C
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5250
Practice Address - Country:US
Practice Address - Phone:828-687-9758
Practice Address - Fax:828-687-9764
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5435207R00000X, 207RC0200X, 207RP1001X
LA336151207RC0200X, 207RP1001X
TX336151207R00000X
IL036155261207RC0200X
OH35C.000910207RC0200X, 208M00000X
NC2023-02091207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158760202Medicaid
TX8BU821OtherBCBS
TX8U1124OtherBCBS
NC1952332876Medicaid
TX8U1124OtherBCBS
TX8G2540Medicare PIN
TX8L8957Medicare PIN