| Alan Stockard, D.o., P.a. | |
|
609 Medical Center Dr Suite #2400 Decatur TX 76234-3836 | |
| (940) 626-4040 | |
| (940) 626-4038 |
| Full Name | Alan Stockard, D.o., P.a. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 609 Medical Center Dr, Decatur, Texas |
| Authorized Official Name and Position | Alan R Stockard (OWNER) |
| Authorized Official Contact | 9406264040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Stockard, D.o., P.a. 609 Medical Center Dr Suite #2400 Decatur TX 76234-3836 Ph: (940) 626-4040 | Alan Stockard, D.o., P.a. 609 Medical Center Dr Suite #2400 Decatur TX 76234-3836 Ph: (940) 626-4040 |
| NPI Number | 1366620460 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366620460 | NPI | - | NPPES |
| PENDING | Medicaid | TX | |
| 0065RP | Other | TX | BCBS |
| DN6959 | Other | TX | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | E6970 (Texas) | Primary |
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