Search › Texas › 164X00000X
Stacy Willis, LVN
NPI 1295228088 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1400 Broadfield Blvd Ste 200
Houston, TX 77084 - Phone
- (888) 693-7474
- Fax
- (888) 510-5280
- Organisation at this address
- Pomelo Pc
Iai Houston, Llc
Mind, Body & Soul
Kanopy Labs, Llc.
Lux Medical ExpressInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas