Organization
MY PERSONAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE STOLTE (OWNER)
(979) 257-8224
Entity
Organization
Contact information
Practice address
1111 HIGHWAY 6 STE 200, SUGAR LAND, TX 77478-4915
(979) 257-8224
Mailing address
1715 HEARTHSIDE CT, RICHMOND, TX 77406-1389
(979) 257-8224
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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