DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STACY LAUREN COULTHARD, M.D.

Active

DR. STACY LAUREN COULTHARD, M.D. is a General Surgery healthcare provider located in JBSA FORT SAM HOUSTON, Texas. NPI 1982864179 is currently active in the NPPES registry. Verify at CMS.

General Surgery · JBSA FORT SAM HOUSTON, TX

Registration Details

NPI Number
1982864179
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2008 (18.196650870731 yrs)
Last Updated
Aug 6, 2025
Licenses
0101246005 (VA)
MD480489 (PA)
MD480489 (PA)
0101246005 (VA)

Practice Information

Address
BROOKE ARMY MEDICAL CENTER
3551 ROGER BROOKE DRIVE
JBSA FORT SAM HOUSTON, TX, 782344505
Browse TX providers · Browse ZIP 78234
Phone
2109165102
Primary Specialty
General Surgery
208600000X
Additional Specialty
Surgical Critical Care
Additional Specialty
Trauma Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in JBSA FORT SAM HOUSTON, TX

Name Credential NPI
DR. EVAN M. RENZ M.D. 1730160656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.