Patricia Caldwell Stark in Waco - Family Medicine
Patricia Caldwell Stark - NPI 1558320697
Patricia Caldwell Stark is a Family Medicine in Waco, Texas. Patricia Caldwell Stark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Patricia Caldwell Stark is 1558320697. The last update date is 2020-09-01.
Patricia Caldwell Stark's current location address is 1001 Hewitt Dr, Waco, Texas. You can contact this provider via phone number 2542027800 and fax number 2542027856. The mailing address for Patricia Caldwell Stark is 1001 Hewitt Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Caldwell Stark |
|---|---|
| Address | 1001 Hewitt Dr, Waco, Texas |
| Phone Number | 2542027800 |
| Fax Number | 2542027856 |
| Sole Proprietor | N |
| Credentials | RN ANP |
NPI Number Detail
| NPI Number | 1558320697 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
| Address | 1001 Hewitt Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767128486 |
| Phone Number | 2542027800 |
| Fax Number | 2542027856 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 445849 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38053701 | TX | -- | |
| 80N899 | TX | BCBS |
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What is the unique provider identifier assigned to Patricia Caldwell Stark?
The Patricia Caldwell Stark has been issued the NPI (National Provider Identifier) 1558320697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Patricia Caldwell Stark located?
The Patricia Caldwell Stark is located at 1001 Hewitt Dr, Waco, TX 767128486.
What is Patricia Caldwell Stark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia Caldwell Stark is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Patricia Caldwell Stark receive its 1558320697 assignment from the Centers for Medicare & Medicaid Services?
The Patricia Caldwell Stark was assigned its 1558320697 on 2006-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Patricia Caldwell Stark's details last updated?
The information pertaining to the Patricia Caldwell Stark, including its address, specialty, and other details, was most recently updated on 2020-09-01.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM