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NPI Code Detail

MEDICARE: STACY LEE NAYES M.D.

MEDICARE: STACY LEE NAYES M.D.
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
1208000000XPediatrics PhysicianQ6775TX

General Provider Information

NPI Number : 1790027076
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY LEE NAYES M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line : MSB 3.020
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-5800
Fax Number : 713-500-5805
Provider Business Practice Location Address
First Line : 17150 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2738
Country : US
Telephone Number : 281-488-6347
Fax Number : 713-500-5805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2013
Last Update Date : 05/16/2022

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