Provider Demographics
NPI:1790881977
Name:STERN, MICHELLE (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:8681 LOUETTA RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6939
Mailing Address - Country:US
Mailing Address - Phone:281-370-0648
Mailing Address - Fax:281-251-3350
Practice Address - Street 1:8681 LOUETTA RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6939
Practice Address - Country:US
Practice Address - Phone:281-370-0648
Practice Address - Fax:281-251-3350
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1035213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L25810Medicare PIN