Doctor Name: | DR. ROBERT L STOCKBURGER |
NPI Number: | 1407823214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | G4437 |
Business Practice Address: | 408 E Tyler St Mexia, TX - 766673620 |
Business Phone Number: | 8306723787 |
Business Fax Number: | |
Mailing Address: | Po Box 290538, KERRVILLE |
State: | TX |
Postal Code: | 780290538 |
Phone Number: | 8306723787 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | G4437 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |