Ethan Stanley is one of 69 nurse practitioners practicing in Southlake, Texas .
Ethan Stanley practices with Total MD Physicians Group, PLLC.
Registry record (NPPES)
NPI
1427529338
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
8528 Davis Blvd Ste 150
Enumerated
Dec 17, 2018
Record last updated
Jul 12, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2175 E Southlake Blvd Suite 120Southlake , TX 76092
More nurse practitioners in Southlake
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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