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Organization
JOHN M STURGEON MD, P.A.
Active
Organization
JOHN M STURGEON MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M STURGEON III MD (CEO)
(214) 676-1044
Entity
Organization
Contact information
Practice address
6112 EMMAS CT, COLLEYVILLE, TX 76034
(214) 676-1044
(817) 576-4220
Mailing address
6112 EMMAS CT, COLLEYVILLE, TX 76034
(214) 676-1044
(817) 576-4220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9911
TX
208M00000X
Hospitalist Physician
K9911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A0256
MEDICARE PTAN
—
Enumeration date
11/12/2008
Last updated
09/25/2015
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