Individual
BRANDI NICOLE STEPHENSON-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 LONG ARBOR LN, KATY, TX 77449-6398
(832) 755-1894
Mailing address
5631 LONG ARBOR LN, KATY, TX 77449-6398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345916
TX
Other
Enumeration date
12/11/2019
Last updated
12/18/2019
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