Individual
JENNIFER LYN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
ONE BAYLOR PLAZA, BCM610, HOUSTON, TX 77030
(832) 826-7372
Mailing address
6550 FANNIN ST STE 2221, HOUSTON, TX 77030-2722
(713) 797-9666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
591584
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
S1926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406155801
—
TX
Enumeration date
04/09/2015
Last updated
03/04/2020
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