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Organization
CHRISTIAN L STALLWORTH MD PLLC
Active
Organization
CHRISTIAN L STALLWORTH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN L STALLWORTH MD (PRESIDENT)
(210) 616-0301
Entity
Organization
Contact information
Practice address
3103 NAPIER PARK, SHAVANO PARK, TX 78231-1549
(210) 616-0301
(210) 616-0302
Mailing address
21 SPURS LN STE 120, SAN ANTONIO, TX 78240-1670
(210) 616-0301
(210) 616-0302
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
NULL
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
09/22/2021
Last updated
08/15/2025
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