Individual provider · Type 1 NPI

Stacy Lynn Fennell, DO

General Practice Physician · Fort Sam Houston, TX

NPI number 1477846582 Active

Practice location

3851 Roger Brooke Dr, Mche-Emr
Fort Sam Houston, TX 78234-4501

Call (210) 292-7626 Map

Mailing address

8344 Versailles SE Rd
Bradford, OH 45308-9602

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X02004134A (IN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1477846582

Stacy Lynn Fennell, DO's National Provider Identifier is 1477846582, issued on May 23, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 23, 2014.