Individual
DR. KIMBERLEA WARD STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11325 FALLBROOK DR, HOUSTON, TX 77065-4232
(281) 890-7773
(281) 890-7798
Mailing address
11325 FALLBROOK DR, HOUSTON, TX 77065-4232
(281) 890-7773
(281) 890-7798
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
L5574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F4305
BCBS PROVIDER NUMBER
TX
Enumeration date
05/18/2006
Last updated
09/28/2009
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