Individual
STELLA UGO HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
4506 VAUGHAN DR, ROWLETT, TX 75088-7503
(972) 475-3358
(972) 475-3385
Mailing address
4506 VAUGHAN DR, ROWLETT, TX 75088-7503
(975) 475-3358
(972) 475-3385
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0084934
TX
Other
Enumeration date
11/03/2006
Last updated
05/27/2008
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