CAROLYN LEE STANFORD

AUSTIN, TX
NPI1326652470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP110163)
Enumeration Date2020-09-06
Last Update Date2020-09-06
Business Address
CAROLYN LEE STANFORD
14902 CROSSCREEK
AUSTIN, TX 78737-8904
Phone number: 512-647-9883
Mailing Address
CAROLYN LEE STANFORD
6705 W HIGHWAY 290 STE 502
AUSTIN, TX 78735-8407
Phone number: 512-647-9883