Individual
MRS. STACIE LYNN NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3202 4TH ST STE 100, LONGVIEW, TX 75605-5218
(903) 757-0577
(903) 753-1087
Mailing address
3202 4TH ST STE 100, LONGVIEW, TX 75605-5218
(903) 757-0577
(903) 753-1087
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04487
TX
Other
Enumeration date
07/26/2006
Last updated
03/12/2021
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