Provider Demographics
NPI:1568416931
Name:NORTON, STACY L (MD)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:L
Last Name:NORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 STATE HIGHWAY 249 STE 475
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1052
Mailing Address - Country:US
Mailing Address - Phone:832-698-5511
Mailing Address - Fax:832-698-5512
Practice Address - Street 1:18220 STATE HIGHWAY 249 STE 475
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1052
Practice Address - Country:US
Practice Address - Phone:832-698-5511
Practice Address - Fax:832-698-5512
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6651207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105596401Medicaid
TXG48935Medicare UPIN
TX105596401Medicaid