Provider Demographics
NPI:1316059595
Name:STOKAN, DEBRA CLOUGH (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:CLOUGH
Last Name:STOKAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25933 KAREN RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5557
Mailing Address - Country:US
Mailing Address - Phone:713-876-8313
Mailing Address - Fax:
Practice Address - Street 1:23501 CINCO RANCH BLVD
Practice Address - Street 2:SUITE G270
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3095
Practice Address - Country:US
Practice Address - Phone:281-394-2005
Practice Address - Fax:281-394-5581
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK04442084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry