Individual provider · Type 1 NPI

Jack Stover, MD

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1750022380 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Call (712) 792-6072 Map

Mailing address

1911 Holcombe Blvd Apt 1232
Houston, TX 77030-4188

Other practice locations

  • 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 · (408) 851-3830

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750022380

Jack Stover, MD's National Provider Identifier is 1750022380, issued on Apr 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Jul 29, 2025.