Stacey Lawrence Rawls, MD
Individual provider Active NPI Neurology Physician · Houston, TX
NPI 1043249774 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1043249774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- Q4831 (TX)
- Practice address
- 16310 Tomball Pkwy Unit 1503
Houston, TX 77064-1812 - Phone
- (832) 301-0700
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070521000100 | NC | Practitioner - Psychiatry | 6901903327 | |
| I20160111000649 | TX | Practitioner - Psychiatry | 6901903327 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4831 | TX | MD | Neurology Physician |
| 2006-00772 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 106BH LLC | Current |
Accepting new patients | |
| RX Health LLC | Neurology | Current |
Accepting new patients |
| Vibrant Comprehensive Services LLC | Psychiatry | Current |
Accepting new patients |
| Comcare Support Center LLC | Past | Accepting new patients | |
| Regions Integrated Health & Wellness LLC | Past |
Accepting new patients |
Locations
16310 Tomball Pkwy
Unit 1503
Houston, TX 77064
Phone (832) 301-0700
1034 Regional Park Dr
Houston, TX 77060
Phone (281) 202-3375
21602 E Hardy Rd
Houston, TX 77073
Phone (346) 237-4282
8717 Humble Westfield Rd
Humble, TX 77338
Phone (281) 202-3375
3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (405) 314-0960
2420 Cartwright Rd
Missouri City, TX 77489
Phone (832) 301-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2006-00772 | NC | |
| Neurology Physician | 2084N0400X | Q4831 | TX | Yes |
Addresses
Primary practice location
16310 Tomball Pkwy Unit 1503
Houston, TX 77064-1812
Mailing address
16310 Tomball Pkwy Unit 1503
Houston, TX 77064-1812
Phone (832) 301-0700
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.