Packard, Stanton C.

Packard, Stanton C. is an individual health care provider with primary practice located at 4002 Burke Rd , Pasadena TX 77504-3451. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Packard, Stanton C. can be contacted via phone (281) 606-2020.

Contact Information

Primary practice address
4002 Burke Rd Pasadena TX 77504-3451
Phone: (281) 606-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J6641 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J6641 Texas

Profile Details

NPI number 1902902257
LBN Legal business name Packard, Stanton C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902902257 NPPES
Texas MEDICAID 138556917

Popular Providers