Individual
STACY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 WOODWAY DR STE 306W, HOUSTON, TX 77056-1828
(832) 225-3345
(713) 583-1504
Mailing address
4801 WOODWAY DR STE 306W, HOUSTON, TX 77056-1828
(832) 225-3345
(713) 583-1504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1158846
TX
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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