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NPI Code Detail

MEDICARE: KAIDEN MARK STASSEN

MEDICARE: KAIDEN MARK STASSEN
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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1548194350
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAIDEN MARK STASSEN
Provider Business Mailing Address
First Line : 9710 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6209
Country : US
Telephone Number : 713-647-5950
Fax Number : 866-613-2396
Provider Business Practice Location Address
First Line : 9710 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6209
Country : US
Telephone Number : 713-647-5950
Fax Number : 866-613-2396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ KAIDEN MARK STASSEN ” Practice Location

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