MEDICARE: DR. LINDSAY REBECCA STOOPS DO

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	207Q00000X	Family Medicine Physician	7901	OK
2	207Q00000X	Family Medicine Physician	V4508	TX

General Provider Information

NPI Number	:	1912580051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY REBECCA STOOPS DO

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR STE 1.405
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-5519
Fax Number	:

Provider Business Practice Location Address
First Line	:	7474 N GRAND PKWY W # C1400
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-1570
Country	:	US
Telephone Number	:	832-717-7825
Fax Number	:

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

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	10/24/2024

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