Organization
SOUTHERN MAGNOLIA MANAGEMENT LLC
Active
Other names
MAGNOLIA PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN STUMP NP (OWNER)
(210) 787-8973
Entity
Organization
Contact information
Practice address
22325 GOSLING RD, SPRING, TX 77389-4409
(281) 724-7980
Mailing address
22325 GOSLING RD, SPRING, TX 77389-4409
(281) 724-7980
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
01/25/2024
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