Individual
STELLA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
102586
TX
363L00000X
Nurse Practitioner
Primary
AP120726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288770501
—
TX
01
—
8Y1747
BCBS
TX
Enumeration date
10/07/2011
Last updated
09/12/2017
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