Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | Q4831 | TX |
NPI | 1043249774 |
---|---|
Provider Name | Dr. Stacey Lawrence Rawls |
First Address | The Woodlands, TX 77387-8273 |
Second Address | Houston, TX 77090-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 30/12/2021 |