Provider Demographics
NPI:1376427583
Name:PLEGER, STACY LYNN (CSFA)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:LYNN
Last Name:PLEGER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 AUTUMN CIR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-4216
Mailing Address - Country:US
Mailing Address - Phone:360-473-8889
Mailing Address - Fax:
Practice Address - Street 1:18600 HARDY OAK BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4206
Practice Address - Country:US
Practice Address - Phone:210-404-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant