Provider Demographics
NPI:1063432243
Name:STOLAR, ANDREA G (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:G
Last Name:STOLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1977 BUTLER BLVD
Mailing Address - Street 2:SUITE E4.400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4101
Mailing Address - Country:US
Mailing Address - Phone:713-798-4997
Mailing Address - Fax:713-798-1479
Practice Address - Street 1:1977 BUTLER BLVD
Practice Address - Street 2:SUITE E4.400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4101
Practice Address - Country:US
Practice Address - Phone:713-798-4997
Practice Address - Fax:713-798-1479
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0838192084P0800X
TXJ02862084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry