Individual
DR. JAMES M. STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, MSB 3.228, HOUSTON, TX 77030-1501
(713) 500-5650
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
L6654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925397
—
OH
05
—
158158903(UTP)
—
TX
05
—
158158905 (MDACC)
—
TX
01
—
8DD194
BCBS (MDACC)
TX
01
—
8F7508
BCBSTX UTP
TX
Enumeration date
07/17/2006
Last updated
01/04/2021
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