Individual
MRS. STACY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19875 SOUTHWEST FWY STE 110, SUGAR LAND, TX 77479-3502
(281) 545-2226
(281) 545-2231
Mailing address
16848 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-4367
(832) 914-7079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
API140837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140837
—
TX
Enumeration date
05/30/2019
Last updated
06/11/2019
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