Organization
MEDICAL ARTS CLINIC OF NEW BRAUNFELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WAYNE STIGALL M.D. (PRESIDENT)
(830) 625-6300
Entity
Organization
Contact information
Practice address
264 W MILL ST, NEW BRAUNFELS, TX 78130-7941
(830) 625-6300
(830) 625-6308
Mailing address
264 W MILL ST, NEW BRAUNFELS, TX 78130-7941
(830) 625-6300
(830) 625-6308
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
J6747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00919R
MEDICARE ID
TX
01
—
8C0650
BCBS
TX
01
—
DD9763
MEDICARE RAILROAD
TX
01
—
J6747
LICENSE
TX
Enumeration date
08/04/2006
Last updated
06/16/2008
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