# CHRISTIAN L STALLWORTH MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952072761
- **Authorized official:** CHRISTIAN L STALLWORTH MD (PRESIDENT)
- **Authorized official phone:** (210) 616-0301

## Contact information

- **Practice address:** 3103 NAPIER PARK, SHAVANO PARK, TX 78231-1549
- **Practice address phone:** (210) 616-0301
- **Practice address fax:** (210) 616-0302
- **Mailing address:** 21 SPURS LN STE 120, SAN ANTONIO, TX 78240-1670
- **Mailing address phone:** (210) 616-0301
- **Mailing address fax:** (210) 616-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 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