Individual
DR. STUART JOEL NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2450 FONDREN RD, #312, HOUSTON, TX 77063-2318
(713) 789-7560
(713) 789-7351
Mailing address
2450 FONDREN RD, #312, HOUSTON, TX 77063-2323
(713) 789-7560
(713) 789-7351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
23367
TX
103T00000X
Psychologist
Primary
23367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B06A
BCBS
TX
01
—
026280
VALUE OPTIONS
TX
05
—
032002004
—
TX
01
—
10019555
AMERIGROUP
TX
05
—
146554401
—
TX
01
—
23367
MOLINA/COMPCARE
TX
01
—
4526527
AETNA
TX
01
—
680001954
RR MEDICARE
TX
01
—
78170308
UNICARE
TX
Enumeration date
07/07/2005
Last updated
07/12/2010
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