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Stephen Manning

Pediatrics in Sugar Land, TX. Individual provider (NPI-1).

NPI number1982135406
StatusActive
Last updated in NPPESMar 9, 2022

Details

NPI
1982135406
Entity type
Individual (NPI-1)
Name
Stephen Manning
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2017
Certification date
Mar 9, 2022
Last updated
Mar 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsS5978TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562

Phone 281-725-5000

Mailing address

6431 Fannin St Ste Jjl 205j
Houston, TX 77030-1501

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