Individual
STACEY MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 TOWN AND COUNTRY WAY UNIT 19438, HOUSTON, TX 77224-0124
(313) 575-5983
Mailing address
10505 TOWN AND COUNTRY WAY UNIT 19438, HOUSTON, TX 77224-0124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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