Stark, Patricia Caldwell

Stark, Patricia Caldwell is an individual health care provider with primary practice located at 1001 Hewitt Dr , Waco TX 76712-8486. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stark, Patricia Caldwell can be contacted via phone (254) 202-7800.

Contact Information

Primary practice address
1001 Hewitt Dr Waco TX 76712-8486
Phone: (254) 202-7800
Fax: (254) 202-7856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 445849 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP107316 Texas

Profile Details

NPI number 1558320697
LBN Legal business name Stark, Patricia Caldwell
Credentials RN ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Sep 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558320697 NPPES
Texas MEDICAID 38053701
Texas Other 80N899

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