Provider Demographics
NPI:1033203609
Name:STALLINGS, STEVEN KENNETH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:KENNETH
Last Name:STALLINGS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:18652 MCKAY DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5716
Mailing Address - Country:US
Mailing Address - Phone:281-319-8383
Mailing Address - Fax:281-319-8384
Practice Address - Street 1:22751 PROFESSIONAL DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6021
Practice Address - Country:US
Practice Address - Phone:281-319-8383
Practice Address - Fax:281-319-8384
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant