Cynthia Lacy-Stallworth, O.D. Llc in Houston - Health Service
Cynthia Lacy-Stallworth, O.D. Llc - NPI 1083814610
Cynthia Lacy-Stallworth, O.D. Llc is a Health Service in Houston, Texas. Cynthia Lacy-Stallworth, O.D. Llc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Cynthia Lacy-Stallworth, O.D. Llc is 1083814610. The last update date is 2007-07-23.
Cynthia Lacy-Stallworth, O.D. Llc's current location address is 1615 S Loop W, Houston, Texas. You can contact this provider via phone number 7137962216 and fax number 7133837612. The mailing address for Cynthia Lacy-Stallworth, O.D. Llc is 1615 S Loop W, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cynthia Lacy-Stallworth, O.D. Llc |
|---|---|
| Address | 1615 S Loop W, Houston, Texas |
| Phone Number | 7137962216 |
| Fax Number | 7133837612 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Lacy-Stallworth Cynthia |
| Credentials | O.D. |
| Telephone Number | 7137345376 |
NPI Number Detail
| NPI Number | 1083814610 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 1615 S Loop W |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770544814 |
| Phone Number | 7137962216 |
| Fax Number | 7133837612 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 06786T |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1560081 | PA | -- |
Post Comment/ Review Below
What is the Cynthia Lacy-Stallworth, O.D. Llc's 1083814610?
The Cynthia Lacy-Stallworth, O.D. Llc's NPI (National Provider Identifier) Number is 1083814610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Cynthia Lacy-Stallworth, O.D. Llc's facilities are geographically located?
The facilities of Cynthia Lacy-Stallworth, O.D. Llc are physically situated at the following location: 1615 S Loop W, Houston, TX, 770544814.
What is the area of specialization for Cynthia Lacy-Stallworth, O.D. Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cynthia Lacy-Stallworth, O.D. Llc is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 261Qh0100X.
On what date did the Cynthia Lacy-Stallworth, O.D. Llc receive its 1083814610 assignment from the Centers for Medicare & Medicaid Services?
The Cynthia Lacy-Stallworth, O.D. Llc was assigned its 1083814610 by the Centers for Medicare & Medicaid Services on 2007-07-23.
As of what date were the details related to Cynthia Lacy-Stallworth, O.D. Llc most recently updated or revised?
The information pertaining to Cynthia Lacy-Stallworth, O.D. Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-23.