Individual
BENJAMIN ADAM STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 SOUTH MAIN STREET, SUITE 111, BOERNE, TX 78006
(830) 331-8585
(830) 331-8586
Mailing address
1430 SOUTH MAIN STREET, SUITE 111, BOERNE, TX 78006
(830) 331-8585
(830) 331-8586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N1905
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10025929
TX
390200000X
Student in an Organized Health Care Education/Training Program
N1905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287686
—
TX
Enumeration date
03/12/2007
Last updated
05/10/2010
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