Thomas W. Stark, Md Pllc

NPI 1255693644 - Otolaryngology - 207Y00000X

NPI Details
NPI 1255693644
Enumeration Date 06/12/2012
Last Updated 10/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THOMAS WHEELER THOMAS
Position OWNER
Phone (281) 576-1030
Fax (936) 582-7001
Practice Location
18059 HIGHWAY 105 W
SUITE 115
MONTGOMERY TX, 77356-5000, US
Phone (281) 576-1030
Fax (936) 582-7001
Business Location
18059 HIGHWAY 105 W
SUITE 115
MONTGOMERY TX, 77356-5000, US
Phone (281) 576-1030
Fax (936) 582-7001
Toxanomy
Taxonomy Code 207Y00000X
License State Texas
License Number F2040
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According to our database, Thomas W. Stark, Md Pllc NPI is 1255693644, taxonomy code is 207Y00000X and license number is F2040, license state is located at Texas. Thomas W. Stark, Md Pllc physically located at 18059 Highway 105 W, Montgomery TX, 77356-5000. NPI Number 1033115704 has the healthcare provider type.

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1255693644 NPI number is provided on an as is basis without warranty of any kind. 1255693644 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas W. Stark, Md Pllc are for informational purposes only.