Individual
MRS. STACEY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19539 DAWN CANYON RD, HOUSTON, TX 77084-6097
(469) 437-1956
Mailing address
2143 FAIR WEATHER DR, LANCASTER, TX 75146-4934
(469) 439-1956
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
12/04/2023
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