Doctor Name: | DR. ADAM D STERLACE |
NPI Number: | 1811033863 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | P1495 |
Business Practice Address: | 98 W County Road 204 Reeves County Detention Center Iii - Medical Pecos, TX - 797727208 |
Business Phone Number: | 4324472909 |
Business Fax Number: | 4324472896 |
Mailing Address: | 98 W County Road 204, Reeves County Detention Center Iii - Medical PECOS |
State: | TX |
Postal Code: | 797727208 |
Phone Number: | 4324472909 |
Fax Number: | 4324472896 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | P1495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |