Individual
DR. STACY LAUREN COULTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE, JBSA FORT SAM HOUSTON, TX 78234-4505
(210) 916-5102
Mailing address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE, JBSA FORT SAM HOUSTON, TX 78234-4505
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101246005
VA
208600000X
Surgery Physician
Primary
0101246005
VA
2086S0102X
Surgical Critical Care Physician
MD480489
PA
2086S0127X
Trauma Surgery Physician
MD480489
PA
Other
Enumeration date
06/11/2008
Last updated
08/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us