Individual
STACY IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5037B FM 2920 RD, SPRING, TX 77388-3114
(281) 453-7777
Mailing address
5037B FM 2920 RD, SPRING, TX 77388-3114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145987
TX
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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