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Individual
DR. JAMES M. STARK
Active
Individual
DR. JAMES M. STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
L6654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925397
—
OH
05
—
158158903(UTP)
—
TX
05
—
158158905 (MDACC)
—
TX
01
—
8DD194
BCBS (MDACC)
TX
01
—
8F7508
BCBSTX UTP
TX
Enumeration date
07/17/2006
Last updated
01/04/2021
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