Individual
MRS. AMBER WILSON STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8225 BROADWAY ST, HOUSTON, TX 77061
(713) 469-4735
Mailing address
8225 BROADWAY ST, HOUSTON, TX 77061-1201
(713) 469-4735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08294
TX
Other
Enumeration date
02/07/2013
Last updated
06/25/2019
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