IndividualActive
Mark Stalls, C.PED.
NPI 1750822805 · Prevention Professional · Denton, TX
Provider details
- NPI number
- 1750822805
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- C.PED.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ABC CPED 1094 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
3106 Santa Monica Dr
Denton, TX 76205-8522
Phone: (940) 367-0641
Fax: (940) 383-4144
Approximate (ZIP-level) locationGet directions
Mailing address
3106 Santa Monica Dr
Denton, TX 76205-8522
Registry dates
- Enumerated
- 2017-03-08
- Last updated
- 2017-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.