Provider Demographics
NPI:1548410129
Name:EKE, STELLA O (PHD, DNP,APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:O
Last Name:EKE
Suffix:
Gender:F
Credentials:PHD, DNP,APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12638 BISSONNET ST
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1479
Mailing Address - Country:US
Mailing Address - Phone:832-328-8891
Mailing Address - Fax:832-478-7911
Practice Address - Street 1:12638 BISSONNET ST
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1479
Practice Address - Country:US
Practice Address - Phone:832-328-8891
Practice Address - Fax:832-478-7911
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688466163W00000X
TXAP117073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse