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Organization

CPF SJN OUTPATIENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STUART JOEL NATHAN PHD (EXECUTIVE DIRECTOR/)
(713) 789-7560
Entity
Organization

Contact information

Practice address
2450 FONDREN RD STE 312, HOUSTON, TX 77063-2323
(713) 789-7560
(713) 789-7351
Mailing address
2450 FONDREN RD STE 312, HOUSTON, TX 77063-2323
(713) 789-7560
(713) 789-7351

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
01/18/2022
Last updated
04/12/2022
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