Individual
DR. LONNIE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 N SAM HOUSTON BLVD, SAN BENITO, TX 78586-4656
(956) 399-2443
(956) 399-6331
Mailing address
351 N SAM HOUSTON BLVD, SAN BENITO, TX 78586-4656
(956) 399-2443
(956) 399-6331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H6964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038772201
—
TX
01
—
080016232
MED RR
TX
Enumeration date
06/30/2005
Last updated
10/10/2011
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