Provider Demographics
NPI:1538343199
Name:STELMACH, INC
Entity type:Organization
Organization Name:STELMACH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STELMACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-320-8287
Mailing Address - Street 1:17031 CAIRNLADDIE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2526
Mailing Address - Country:US
Mailing Address - Phone:713-320-8287
Mailing Address - Fax:
Practice Address - Street 1:17031 CAIRNLADDIE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2526
Practice Address - Country:US
Practice Address - Phone:713-320-8287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center