Organization
PRYNCESS JOHNSON STEPHENS, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRYNCESS STEPHENS D.P.M. (PHYSICIAN)
(832) 644-9412
Entity
Organization
Contact information
Practice address
530 KINGWOOD DR, KINGWOOD, TX 77339-4473
(281) 358-0813
(866) 862-9655
Mailing address
6942 FM 1960 RD E # 203, HUMBLE, TX 77346-2706
(832) 644-9412
(866) 862-9655
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
1924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB100602
MEDICARE PTAN
TX
Enumeration date
03/03/2011
Last updated
03/03/2011
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