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Ms. Stacey Fondren, ATP
Customized Equipment (DME) in Humble, Texas
NPI 1427658640

Stacey Fondren is a Customized Equipment (DME) based in Humble, TX and is specialized in Customized Equipment. Stacey Fondren practices in Humble, TX and has the professional credentials of ATP. The NPI Number for Stacey Fondren is 1427658640 and holds a License No. 85967 (Texas).

The current practice location address for Stacey Fondren is 2111 Fm 1960 Rd E, Humble, TX and can be reached out via phone at 832-445-0956.

Location: 2111 Fm 1960 Rd E, Humble, TX, 77346-4813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427658640
Provider Name
Stacey Fondren
Credential
ATP
Provider Entity Type
Individual
Gender
Female
Address
2111 Fm 1960 Rd E, Humble, TX, 77346-4813
Phone Number
832-445-0956
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2111 Fm 1960 Rd E
City
Humble
State
Texas
Zip
77338-5229
Phone Number
832-445-0956
Fax Number
person
Provider Business Mailing Address Details
Address
2111 Fm 1960 Rd E
City
Humble
State
Texas
Zip
77338-5229
Phone Number
832-445-0956
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
85967 (Texas)
Definition
Definition to come...
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