Doctor Name: | DR. RONALD KENT STOBAUGH |
NPI Number: | 1093707317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 9389 |
Business Practice Address: | 8800 Katy Fwy Suite 210 Houston, TX - 770241633 |
Business Phone Number: | 7134642833 |
Business Fax Number: | 7134647563 |
Mailing Address: | 8800 Katy Fwy, Suite 210 HOUSTON |
State: | TX |
Postal Code: | 770241633 |
Phone Number: | 7134642833 |
Fax Number: | 7134647563 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/27/2006 |
NPI Reactivation Date: | 09/20/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |