Individual
DR. MATTHEW BLAKE STAHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1000
(512) 324-3440
(512) 406-6513
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
K9428
TX
207RI0011X
Interventional Cardiology Physician
Primary
K9428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080142147
RAILROAD MEDICARE
TX
05
—
144427506
—
TX
05
—
144427507
—
TX
05
—
144427508
—
TX
05
—
144427509
—
TX
01
—
8CN833
BCBS
TX
01
—
8ET504
BCBS
TX
01
—
P00837346
RAILROAD MEDICARE
TX
Enumeration date
01/25/2006
Last updated
12/12/2014
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