Stark, Robert N

Stark, Robert N is an individual health care provider with primary practice located at 2701 Sunset Ridge Dr Ste 200 , Rockwall TX 75032-0007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stark, Robert N can be contacted via phone (972) 772-5450.

Contact Information

Primary practice address
2701 Sunset Ridge Dr Ste 200 Rockwall TX 75032-0007
Phone: (972) 772-5450
Fax: (972) 772-5452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0283 Texas

Profile Details

NPI number 1427035484
LBN Legal business name Stark, Robert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 20th, 2021 - about 3 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 1427035484 NPPES
Texas MEDICAID 174027603
Texas MEDICAID 174027601
Texas Other 81312S

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