Provider Demographics
NPI:1770096398
Name:STOUFER, STELLA M (MAOM, LAC)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:M
Last Name:STOUFER
Suffix:
Gender:F
Credentials:MAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9802 PARSONSFIELD LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1155
Mailing Address - Country:US
Mailing Address - Phone:832-767-8461
Mailing Address - Fax:
Practice Address - Street 1:722 PIN OAK RD STE 206
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6328
Practice Address - Country:US
Practice Address - Phone:832-437-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01691171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist