Individual
MICHAEL L STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744
Mailing address
950 W MAGNOLIA AVE, FORT WORTH, TX 76104
(817) 336-5060
(817) 336-1744
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E1766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10013403
AMERIGROUP
—
01
—
1646440
UNISYS MEDICAID
LA
01
—
4036178
AETNA
—
01
—
834763
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/20/2006
Last updated
07/08/2007
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