P Praxis·MD
● Active Type 1 · Individual

Ava Cheryl Stanczak, D.O.

Pediatrics·Coppell, TX· NPI 1750388971 · Enumerated 2005 · 20 years on NPI
Stanczak is 1 of 23 pediatrics providers in Coppell and 1 of 7055 in Texas.
NPI age
20 years
Enumerated 2005-07-01
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7055 active pediatrics providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
645 E State Highway 121 Ste 600
Coppell, TX 750197942
📞 9727457500fax 9727454336
Mailing address
432 Farris Mines Rd
Allisonia, VA 243474072
📞 5402304668

Additional practice locations

1 secondary location on file with NPPES.

Location 2
165 Westmoreland St
Harrogate, TN 377528202
📞 4238697193fax 4238697195

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #G4785VA license #01022011441 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (VA) 0102201441
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 8 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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