Individual
DOUGLAS J STOCKWELL
Active
Individual
DOUGLAS J STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G5653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076126
VALUE OPTIONS
TX
05
—
114122
—
AZ
05
—
137426604
—
TX
01
—
260041159
RAILROAD MEDICARE
TX
01
—
85500X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/15/2006
Last updated
07/16/2019
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