Organization
THOMAS W. STARK, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WHEELER STARK M.D. (OWNER)
(281) 576-1030
Entity
Organization
Contact information
Practice address
18059 HIGHWAY 105 W, SUITE 115, MONTGOMERY, TX 77356-5000
(281) 576-1030
(936) 582-7001
Mailing address
18059 HIGHWAY 105 W, SUITE 115, MONTGOMERY, TX 77356-5000
(281) 576-1030
(936) 582-7001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F2040
TX
Other
Enumeration date
06/12/2012
Last updated
10/04/2012
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