STEPHANIE D. SMITH-SHAM, M.D., PLLC
Medical Practice at Fallbrook Dr, Houston, TX

License number
Texas N2818
Category
Medical Practice
Type
Specialist
Owner
Name: DR. STEPHANIE D. SMITH-SHAM M.D., FACOG
Title: PRESIDENT/PHYSICIAN
Phone: (281) 955-8780
Address
Address
11302 Fallbrook Dr #302, Houston, TX 77065
National Provider ID: 1427381854
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHANIE D. SMITH-SHAM M.D., PLLC

Humble, TX  -  Spring, TX  -  Houston, TX

Industry:
Medical Doctor's Office
Registration:
Aug 18, 2009
Addresses:
1220 Stonehollow Dr, Kingwood, TX 77339 (Mailing)
15902 Brampton Ct, Spring, TX 77379
11830 Newport Shr Dr, Houston, TX 77065
11302 Fallbrook Dr, Houston, TX 77065
State ID:
0801159003
Business type:
Domestic Limited Liability Company (LLC)
Registered Nurses:
Stephanie D. Smith-Sham M.d., Pllc (Director, Member),Stephanie D Smith-Sham Director, Member , Medical Doctor, Obstetrician, President, Principal, inactive, 11830 New Prt Shr Dr, Houston, TX 77065,Sandoval Yeni Registered Nurse, inactive
Agent:
Gary L Price,1220 Stonehollow Dr, Kingwood, TX 77339 (Physical)
TIN:
32040107370

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