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Organization
KENNETH J STANLEY MD PA
Active
Organization
KENNETH J STANLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J STANLEY M.D. (OWNER)
(713) 436-8501
Entity
Organization
Contact information
Practice address
10100 BROADWAY ST, SUITE 110, PEARLAND, TX 77584-8425
(713) 436-8501
(713) 436-8563
Mailing address
10223 BROADWAY ST, SUITE P335, PEARLAND, TX 77584-7880
(713) 436-8501
(713) 436-8563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2014
TX
Other
Enumeration date
08/31/2006
Last updated
01/08/2009
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