STONEWALL FELLOWSHIP CHURCH
NPI 1134088172
Nurse Practitioner - Pediatrics, Critical Care in Nacogdoches, TX

Q: What is Stonewall Fellowship Church's NPI number?

The NPI number for Stonewall Fellowship Church is 1134088172. It was assigned to this organization in the NPPES registry on January 16, 2026.

Q: What is Stonewall Fellowship Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Active since January 16, 2026

1303 SOUTH UNIVERSITY DR, NACOGDOCHES, TX 75961(936) 219-4611 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stonewall Fellowship Church NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONEWALL FELLOWSHIP CHURCH (NPI 1134088172) is a healthcare organization registered as a pediatrics, critical care in Nacogdoches, Texas and active in the NPI registry since January 2026. The organization lists Desmond Tolbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1134088172

Entity TypeOrganization

Primary Taxonomy363LP0222X

Legal Business NameSTONEWALL FELLOWSHIP CHURCH

Location Address1303 SOUTH UNIVERSITY DRNacogdoches, TX 75961

Mailing Address1303 South University DrNacogdoches, TX 75961 · (936) 219-4611

Phone(936) 219-4611

Organization SubpartNo

Authorized OfficialDesmond TolbertOwner · (936) 219-4611

Enumeration DateJanuary 16, 2026

NPPES CertifiedJanuary 13, 2026

✔ NPI 1134088172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

1303 SOUTH UNIVERSITY DR, Nacogdoches, TX 75961

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stonewall Fellowship Church's NPI number?

The NPI number for Stonewall Fellowship Church is 1134088172. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is Stonewall Fellowship Church located?

Stonewall Fellowship Church is located at 1303 South University Dr, Nacogdoches, TX 75961. The listed phone number is (936) 219-4611.

What is Stonewall Fellowship Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Stonewall Fellowship Church was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.