Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99059 | TX |
NPI | 1043469281 |
---|---|
Provider Name | Mrs. Nanci Deanne Stanley |
First Address | Houston, TX 77041-5971 |
Second Address | Houston, TX 77041-5971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 11/09/2008 |