P Praxis·MD
● Active Type 1 · Individual

Stacy Lynn Fennell, D.O.

General Practice·Fort Sam Houston, TX· NPI 1477846582 · Enumerated 2011 · 15 years on NPI
Fennell is 1 of 65 general practice providers in Fort Sam Houston and 1 of 2087 in Texas.
NPI age
15 years
Enumerated 2011-05-23
Primary specialty
General Practice
Licensed in
IN
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2087 active general practice providers in Texas.

NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
3851 Roger Brooke Dr, McHe-Emr
Fort Sam Houston, TX 782344501
📞 2102927626
Mailing address
8344 Versailles Se Rd
Bradford, OH 453089602
📞 9379748352

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    IN license #02004134A taxonomy 208D00000X

Practice context

Part of a multi-provider practice. 345 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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