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NPI Code Detail

MEDICARE: DR. STEPHANIE COULTER MD

MEDICARE: DR. STEPHANIE COULTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistK8733TX
2207UN0901XNuclear Cardiology PhysicianK8733TX
3207RC0000XCardiovascular Disease PhysicianK8733TX

General Provider Information

NPI Number : 1376566273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE COULTER MD
Provider Business Mailing Address
First Line : 6624 FANNIN ST
Second Line : SUITE 2600
City : HOUSTON
State : TX
Zip : 77030-2338
Country : US
Telephone Number : 713-790-9401
Fax Number : 713-790-0353
Provider Business Practice Location Address
First Line : 6624 FANNIN ST
Second Line : SUITE 2600
City : HOUSTON
State : TX
Zip : 77030-2338
Country : US
Telephone Number : 713-790-9401
Fax Number : 713-790-0353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/01/2023

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