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1184725111
STACY L MOULDER
HOUSTON, TX
NPI
1184725111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX M1250)
Enumeration Date
2006-09-25
Last Update Date
2012-06-18
Business Address
-- STACY L MOULDER M.D.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- STACY L MOULDER M.D.
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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