Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stephen Alexander Mack, APRN-CNP, PMHNP-C

Individual provider Chiropractor · NPI 1245352756

Dr. Stephen Alexander Mack, APRN-CNP, PMHNP-C is a Nurse Practitioner in Katy, Texas. Qualified in 2015, 11 years ago. Practices with Doctors Express of the Beaumont Area PA, a 211-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2007
Specialties on file
5

Practice location Address checks out

21613 Provincial Blvd
Katy, TX 77450-6506
Phone: (713) 777-9900
Fax: (713) 777-9902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP128914 (TX)
Chiropractor Taxonomy 111N00000X · Licence 9319 (TX)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 9319 (TX)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 9319 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP128914 (TX)

Record details

NPI number1245352756
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP , PMHNP-C
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Doctors Express Of The Beaumont Area Pa — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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