institution
Cynthia Lacy-stallworth, O.d. Llc
Health Service Clinic/Center in Houston, Texas
NPI 1083814610

Cynthia Lacy-stallworth, O.d. Llc is a Health Service Clinic/Center based in Houston, TX and is specialized in Health Service. Cynthia Lacy-stallworth, O.d. Llc practices in Houston, TX. The NPI Number for Cynthia Lacy-stallworth, O.d. Llc is 1083814610 and holds a License No. 06786T (Texas).

The current practice location address for Cynthia Lacy-stallworth, O.d. Llc is 1615 S Loop W, Houston, TX and can be reached out via phone at 713-796-2216 and via fax at 713-383-7612.

Location: 1615 S Loop W, Houston, TX, 77054-4814
institution
Provider Profile Details
NPI Number
1083814610
Provider Name
Cynthia Lacy-stallworth, O.d. Llc
Credential
Provider Entity Type
Organization
Address
1615 S Loop W, Houston, TX, 77054-4814
Phone Number
713-796-2216
Fax Number
713-383-7612
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01560081 05 PA
institution
Provider Business Practice Location Address Details
Address
1615 S Loop W
City
State
Zip
77054-4814
Phone Number
713-796-2216
Fax Number
713-383-7612
person
Provider Business Mailing Address Details
Address
1615 S Loop W
City
State
Zip
77054-4814
Phone Number
713-796-2216
Fax Number
713-383-7612
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
06786T (Texas)
Definition
Definition to come...
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