Organization Active NPI

Stiles Medical Consulting PA

  • Pediatric Adolescent Medicine Physician
  • Rockwall, TX
National Provider Identifier
1063765212
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
H8853 Issued in TX
Legal business name
STILES MEDICAL CONSULTING PA
Practice address
6800 Heritage Pkwy
102
Rockwall, TX 75087-8746
Phone
(972) 463-7337
Fax
(972) 463-7004
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Stiles, D.O.
Title
Owner
Phone
(214) 454-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X H8853 TX Primary

Addresses

Primary practice location

6800 Heritage Pkwy
102
Rockwall, TX 75087-8746

Mailing address

502 W Kearney St
700
Mesquite, TX 75149-3401
Phone (972) 288-7337

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1063765212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W KEARNEY ST",
            "address_2": "700",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493401",
            "telephone_number": "972-288-7337",
            "fax_number": "972-289-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HERITAGE PKWY",
            "address_2": "102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878746",
            "telephone_number": "972-463-7337",
            "fax_number": "972-463-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILES MEDICAL CONSULTING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-454-9452",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "H8853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.