Stovall, George A
Stovall, George A is an sole proprietor health care provider with primary practice located at 405 Londonderry Dr Suite 303, Waco TX 76712-7924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Stovall, George A can be contacted via phone (254) 399-6730.Contact Information
Primary practice address
405 Londonderry Dr Suite 303
Waco TX 76712-7924
Phone: (254) 399-6730
Fax: (254) 399-6738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H1726 | Texas |
Profile Details
| NPI number | 1770533903 |
|---|---|
| LBN Legal business name | Stovall, George A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 6th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770533903 | NPPES |
| Texas | MEDICAID | 133165410 |
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