Individual ProviderStephen A HemmerlyPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-5518(615) 574-5141PECOS EnrollmentBased on the most recent information from CMS, provider Stephen A Hemmerly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205585338Provider TypeIndividualFull NameHemmerly, Stephen ATitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/23/2022Last Updated7/1/2025Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-5518FaxUnlisted FaxMailing LocationMailing Address757 Lake Carolyn Pkwy Apt 4251, Irving, TX 75039-4541Phone(615) 574-5141FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseV6596TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerTexas