Stovall, Richard B
Stovall, Richard B is an individual health care provider with primary practice located at 2200 Park Bend Dr Bldg 2 Ste 201, Austin TX 78758-5387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Stovall, Richard B can be contacted via phone (512) 835-8100.Contact Information
Primary practice address
2200 Park Bend Dr Bldg 2 Ste 201
Austin TX 78758-5387
Phone: (512) 835-8100
Fax: (512) 835-8101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | K5409 | Texas |
Profile Details
| NPI number | 1134115595 |
|---|---|
| LBN Legal business name | Stovall, Richard B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jan 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134115595 | NPPES |
| Texas | MEDICAID | 161400002 | |
| Texas | Other | 8S5890 |
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