STACEY FONDREN, ATP, Customized Equipment HUMBLE, TX

Contact Information

STACEY FONDREN, ATP

2111 FM 1960 RD E
HUMBLE, TX 77338-5229

Phone: 832-445-0956
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for STACEY FONDREN · (Female)

NPI #	`1427658640`
Status	Active
Credentials	ATP
Entity	Individual
Enumeration date	10/27/2020
Last updated	10/27/2020 - About 6 years ago
Sole proprietor ¹	Yes
Identifiers	TX License # 85967
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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