Healthcare Provider Details

I. General information

NPI: 1669485389
Provider Name (Legal Business Name): FAITH ANNE STILEN O.T.R.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 JACKSON ST STE 300
RICHMOND TX
77469-3250
US

IV. Provider business mailing address

2606 GREEN FALLS LANE
RICHMOND TX
77469
US

V. Phone/Fax

Practice location:
  • Phone: 281-344-1808
  • Fax: 281-344-1807
Mailing address:
  • Phone: 281-344-1808
  • Fax: 281-344-1807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number110300
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number110300
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number110300
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: