Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 6015 | TX |
NPI | 1548337512 |
---|---|
Provider Name | Dr. Nelson L. Stehling |
First Address | Victoria, TX 77904-2351 |
Second Address | Victoria, TX 77904-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 27/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U33626 | (02) | TX |