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Organization
ALAN STOCKARD, D.O., P.A.
Active
Organization
ALAN STOCKARD, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN R STOCKARD D.O. (OWNER)
(940) 626-4040
Entity
Organization
Contact information
Practice address
609 MEDICAL CENTER DR, SUITE #2400, DECATUR, TX 76234-3836
(940) 626-4040
(940) 626-4038
Mailing address
609 MEDICAL CENTER DR, SUITE #2400, DECATUR, TX 76234-3836
(940) 626-4040
(940) 626-4038
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
E6970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065RP
BCBS
TX
01
—
DN6959
MEDICARE RR
TX
05
—
PENDING
—
TX
Enumeration date
01/31/2008
Last updated
01/07/2009
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