Individual provider · Type 1 NPI
Stephen Alexander Mack, APRN-CNP; PMHNP-C
Family Nurse Practitioner · Katy, TX
NPI number
1245352756
Active
Practice location
21613 Provincial Blvd
Katy, TX 77450-6506
Fax (713) 777-9902
Mailing address
6107 Mustang Trail Ln
Fulshear, TX 77441-1121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 9319 (TX) |
| Rehabilitation Chiropractor | 111NR0400X | 9319 (TX) |
| Sports Physician Chiropractor | 111NS0005X | 9319 (TX) |
| Nurse Practitioner | 363L00000X | AP128914 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP128914 (TX) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1245352756
Stephen Alexander Mack, APRN-CNP; PMHNP-C's National Provider Identifier is 1245352756, issued on Apr 4, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Katy, TX. The record was last updated on Aug 31, 2023.