Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 091717 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | P6921 | TX |
NPI | 1215146196 |
---|---|
Provider Name | Mrs. Stephanie Renee Sisley |
First Address | Houston, TX 77030-2600 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 14/08/2013 |