Individual
LAWRENCE CHRIS STINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
606 E NUECES ST, VICTORIA, TX 77901
(361) 575-4100
(361) 575-4111
Mailing address
P.O. BOX 5749, VICTORIA, TX 77903
(361) 575-4100
(361) 575-4111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
631688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176123101
—
TX
01
—
NP7206
BCBS OF TX #
TX
Enumeration date
12/15/2005
Last updated
05/07/2014
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