Christopher Michael Stack
Student in an Organized Health Care Education/Training Program in Spring, TX. Individual provider (NPI-1).
NPI number1962034280
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1962034280
- Entity type
- Individual (NPI-1)
- Name
- Christopher Michael Stack
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2020
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1906 Wickburn DrSpring, TX 77386-1635
Phone 832-813-9504
Mailing address
1906 Wickburn DrSpring, TX 77386-1635
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Other Student in an Organized Health Care Education/Training Program providers in Spring, TX
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All 17 Student in an Organized Health Care Education/Training Program providers in Spring · All 5,637 providers in Spring
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