Individual
STACI D KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17350 ST LUKES WAY, SUITE 200, THE WOODLANDS, TX 77384-4100
(832) 822-5046
(931) 321-0087
Mailing address
17350 ST LUKES WAY, SUITE 200, THE WOODLANDS, TX 77384-4100
(832) 822-5046
(931) 321-0087
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
Q8272
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
06/20/2016
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