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Individual
ALAN R STOCKARD
Active
Individual
ALAN R STOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6970
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
E6970
TX
208D00000X
General Practice Physician
E6970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132469109
—
TX
05
—
132469110
—
TX
01
—
847561
BCBS
TX
01
—
8BM390
BCBS
TX
01
—
P00633587
MEDICARE RR
TX
01
—
P00768237
RAILROAD MEDICARE
TX
Enumeration date
07/03/2006
Last updated
05/09/2011
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