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1508092974
KENNETH W STACKHOUSE
CORPUS CHRISTI, TX
NPI
1508092974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 607067)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- KENNETH W STACKHOUSE F.N.P.
2606 HOSPITAL BLVD
CORPUS CHRISTI, TX 78405-1804
Phone number: 361-902-4000
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Mailing Address
-- KENNETH W STACKHOUSE F.N.P.
1717 MAIN ST SUITE 5200
DALLAS, TX 75201-4612
Phone number: 214-712-2000
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