Individual
GAYLE STAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27327 ROBINSON RD STE 1, OAK RIDGE NORTH, TX 77385-8971
(281) 782-1555
Mailing address
27327 ROBINSON ROAD STE 1, OAK RIDGE NORTH, TX 77385
(281) 782-1555
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
729073
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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