Individual
STACEY CALDWELL WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19423 LAKE HOLLOW LN, HOUSTON, TX 77084-4865
(346) 304-3094
(346) 304-3094
Mailing address
19423 LAKE HOLLOW LN, HOUSTON, TX 77084-4865
(346) 304-3094
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
760283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760283
REGISTER NURSE
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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