Individual
MICHELLE STAMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4019 SOUTH ST, BROOKSHIRE, TX 77423-9326
(832) 428-7283
Mailing address
PO BOX 674, BROOKSHIRE, TX 77423-0674
(832) 428-7283
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
TEXAS DEPARTMENTOF AGING AND DISABILITIES
—
Enumeration date
04/07/2014
Last updated
04/07/2014
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