MEDICARE: ALLISON L STAHL CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	1151089	TX
2	367500000X	Certified Registered Nurse Anesthetist	147549	TX

General Provider Information

NPI Number	:	1528838745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON L STAHL CRNA

Provider Business Mailing Address
First Line	:	1504 TAUB LOOP FL 4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-873-2860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 TAUB LOOP
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-873-2860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	03/23/2026

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