Provider Demographics
NPI:1528427200
Name:OSORO, STELLA (FNP)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:OSORO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:8 MEDICAL PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7839
Mailing Address - Country:US
Mailing Address - Phone:972-406-2896
Mailing Address - Fax:972-406-2767
Practice Address - Street 1:8 MEDICAL PKWY STE 103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7839
Practice Address - Country:US
Practice Address - Phone:972-406-2896
Practice Address - Fax:972-406-2767
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP130382208D00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice