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General NPI Number Information
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NPI Number | 1043249774
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Entity Type | Individual
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Provider Name | STACEY LAWRENCE RAWLS MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 16310 TOMBALL PKWY UNIT 1503
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City | HOUSTON
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State | TX
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Zip | 77064-1812
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Country | US
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Telephone | 832-301-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 16310 TOMBALL PKWY UNIT 1503
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City | HOUSTON
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State | TX
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Zip | 77064-1812
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Country | US
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Telephone | 832-301-0700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2006-00772
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | Q4831
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License Number State | TX
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