Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy R. Moretta, PA

Individual provider Medical Physician Assistant · NPI 1639309461

Stacy R. Moretta, PA is a Physician Assistant in Irving, Texas. Qualified in 2008, 18 years ago. Practices with The ENT and Allergy Centers of Texas, PLLC, a 55-clinician group and works from 2 locations. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6161 N State Highway 161
Irving, TX 75038
Phone: (972) 258-7499
Fax: (972) 257-0897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6565 West Loop S Ste 525, Bellaire, TX 77401-3519 — (346) 971-4050

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06061 (TX)

Record details

NPI number1639309461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice The Ent And Allergy Centers Of Texas, Pllc — 55 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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