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Stediclinic Pllc
Family Nurse Practitioner in Houston, Texas
NPI 1659746675

Stediclinic Pllc is a Family Nurse Practitioner based in Houston, TX and is specialized in Family. Stediclinic Pllc practices in Houston, TX. The NPI Number for Stediclinic Pllc is 1659746675 and holds a License No. (Texas).

The current practice location address for Stediclinic Pllc is 4560 Fm 1960 Rd W Ste 106, Houston, TX and can be reached out via phone at 832-286-1061 and via fax at 832-286-1267.

Location: 4560 Fm 1960 Rd W Ste 106, Houston, TX, 77069-4628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659746675
Provider Name
Stediclinic Pllc
Credential
Provider Entity Type
Organization
Address
4560 Fm 1960 Rd W Ste 106, Houston, TX, 77069-4628
Phone Number
832-286-1061
Fax Number
832-286-1267
Provider Enumeration Date
12/02/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
358389004 05 TX
3604894 05 TX
1659746675 05 TX
institution
Provider Business Practice Location Address Details
Address
4560 Fm 1960 Rd W Ste 106
City
Houston
State
Texas
Zip
77069
Phone Number
832-286-1061
Fax Number
832-286-1267
person
Provider Business Mailing Address Details
Address
4560 Fm 1960 Rd W Ste 106
City
Houston
State
Texas
Zip
77069
Phone Number
832-286-1061
Fax Number
832-286-1267
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
AP128483 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(Texas)
Definition
Definition to come...
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