Organization Active NPI

Stelis, PLLC

  • Rheumatology Physician
  • McKinney, TX
National Provider Identifier
1093335648
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
STELIS, PLLC
Practice address
4510 Medical Center Dr Ste 314
McKinney, TX 75069-6851
Phone
(469) 702-0777
Fax
(412) 324-7399
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Stella Bard, MD
Title
Owner
Phone
(469) 702-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

4510 Medical Center Dr Ste 314
McKinney, TX 75069-6851

Mailing address

1113 Lamplight Way
Allen, TX 75013-5609
Phone (469) 702-0777

Other practice location 1

2027 61st St
Galveston, TX 77551-1401
Phone (469) 702-0777

National Provider Directory

National Provider Directory

Locations

981 State Highway 121
Bldg C
Allen, TX 75013
Phone (718) 906-6327

2027 61st St
Galveston, TX 77551
Phone (409) 744-9800

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1093335648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 LAMPLIGHT WAY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135609",
            "telephone_number": "469-702-0777",
            "fax_number": "412-324-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 314",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750696851",
            "telephone_number": "469-702-0777",
            "fax_number": "412-324-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2027 61st St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775511401",
            "country_code": "US",
            "telephone_number": "469-702-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STELIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BARD",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-702-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.