Stidham, Thea
Stidham, Thea is an individual health care provider with primary practice located at 4630 Long Prairie Rd Ste 210 , Flower Mound TX 75028-1964. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stidham, Thea can be contacted via phone (469) 495-9112.Contact Information
Primary practice address
4630 Long Prairie Rd Ste 210
Flower Mound TX 75028-1964
Phone: (469) 495-9112
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP139298 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP139298 | Texas |
Profile Details
NPI number | 1568926335 |
---|---|
LBN Legal business name | Stidham, Thea |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2019 |
Last updated | May 21st, 2024 - about last year |
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.
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