Provider Demographics
NPI:1841481033
Name:STAHL, NICOLE KIMBERLY (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:KIMBERLY
Last Name:STAHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2900 COMMERCIAL CENTER BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6724
Mailing Address - Country:US
Mailing Address - Phone:713-332-4388
Mailing Address - Fax:713-332-4385
Practice Address - Street 1:2900 COMMERCIAL CENTER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6724
Practice Address - Country:US
Practice Address - Phone:713-332-4388
Practice Address - Fax:713-332-4385
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-00291052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry