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NPI Code Detail

MEDICARE: DR. REESHEMAH STIDHUM ND

MEDICARE:  DR. REESHEMAH  STIDHUM  ND
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
1175F00000XNaturopath

General Provider Information

NPI Number : 1962136689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REESHEMAH STIDHUM ND
Provider Business Mailing Address
First Line : 3422 BUSINESS CENTER DR STE 106
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3422 BUSINESS CENTER DR STE 106
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4159
Country : US
Telephone Number : 662-926-0015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 08/05/2024

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Directions to “ DR. REESHEMAH STIDHUM ND” Practice Location

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