Individual
LINDSAY W STADTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6210 JOHN RYAN DR, STE 104, FORT WORTH, TX 76132-4113
(817) 294-7578
(817) 294-0585
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCSTX GRP PIN
TX
05
—
140442852
—
TX
05
—
140442893
—
TX
05
—
162742401
—
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
2146971
FIRSTHEATLH PIN
TX
01
—
2360144
UHC PIN
TX
01
—
7489549
AETNA PIN
TX
01
—
8K3191
BCBSTX IND PIN
TX
01
—
STAL058704
CCHIP PIN
TX
Enumeration date
10/26/2006
Last updated
04/20/2010
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