Individual
DESHUN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13108 GRANTHAM RIDGE CT, ROSHARON, TX 77583
(832) 524-5442
Mailing address
13108 GRANTHAM RIDGE CT, ROSHARON, TX 77583
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376G00000X
Nursing Home Administrator
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/03/2015
Last updated
06/11/2024
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