ELLAIN JOY DEMAISIP STOUTENBURG

BRYAN, TX
NPI1235772351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP142201)
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
ELLAIN JOY DEMAISIP STOUTENBURG APRN, FNP-C
2215 E VILLA MARIA RD STE 110
BRYAN, TX 77802-2585
Phone number: 979-776-2000
Mailing Address
ELLAIN JOY DEMAISIP STOUTENBURG APRN, FNP-C
9207 BROOKWATER CIR
COLLEGE STATION, TX 77845-8735
Phone number: 806-317-0556
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