Alan Stockard, D.O., P.A. in Decatur - Sports Medicine

Alan Stockard, D.O., P.A. - NPI 1366620460

Alan Stockard, D.O., P.A. is a Sports Medicine in Decatur, Texas. Alan Stockard, D.O., P.A. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Alan Stockard, D.O., P.A. is 1366620460. The last update date is 2009-01-07.

Alan Stockard, D.O., P.A.'s current location address is 609 Medical Center Dr, Decatur, Texas. You can contact this provider via phone number 9406264040 and fax number 9406264038. The mailing address for Alan Stockard, D.O., P.A. is 609 Medical Center Dr, Decatur, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Alan Stockard, D.O., P.A.
Address 609 Medical Center Dr, Decatur, Texas
Phone Number 9406264040
Fax Number 9406264038
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Stockard R Alan
Credentials D.O.
Telephone Number 9406264040

NPI Number Detail

NPI Number 1366620460
Provider Enumeration Date 2008-01-31
Last Updated Date 2009-01-07

Provider Mailing Address Detail

Address 609 Medical Center Dr
City Decatur
State Texas (TX)
Post Code 762343836
Phone Number 9406264040
Fax Number 9406264038

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No E6970
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PENDING TX --
0065RP TX BCBS
DN6959 TX MEDICARE RR

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FAQs about Alan Stockard, D.O., P.A.

What is the Alan Stockard, D.O., P.A.'s 1366620460?

The Alan Stockard, D.O., P.A.'s NPI (National Provider Identifier) Number is 1366620460. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Alan Stockard, D.O., P.A.?

The Alan Stockard, D.O., P.A. is physically situated at 609 Medical Center Dr, in the city of Decatur, state of TX, with the postal code 762343836.

What is Alan Stockard, D.O., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alan Stockard, D.O., P.A. is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.

When did Alan Stockard, D.O., P.A. receive its 1366620460 assignment?

The Alan Stockard, D.O., P.A. was assigned its 1366620460 on 2008-01-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Alan Stockard, D.O., P.A. last refreshed?

The information related to the Alan Stockard, D.O., P.A., including its address, specialty, and other relevant details, was last updated on 2009-01-07.

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