Kenneth J Stanley Md Pa | |
10100 Broadway St Suite 110 Pearland TX 77584-8425 | |
(713) 436-8501 | |
(713) 436-8563 |
Full Name | Kenneth J Stanley Md Pa |
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Speciality | Family Medicine |
Location | 10100 Broadway St, Pearland, Texas |
Authorized Official Name and Position | Kenneth J Stanley (OWNER) |
Authorized Official Contact | 7134368501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth J Stanley Md Pa 10223 Broadway St Suite P335 Pearland TX 77584-7880 Ph: (713) 436-8501 | Kenneth J Stanley Md Pa 10100 Broadway St Suite 110 Pearland TX 77584-8425 Ph: (713) 436-8501 |
NPI Number | 1144332529 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 01/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144332529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L2014 (Texas) | Primary |
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