Individual
DAVID MICHAEL STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1749 PINE ST, ABILENE, TX 79601-3043
(325) 672-4372
(325) 673-0856
Mailing address
1749 PINE ST, ABILENE, TX 79601-3043
(325) 672-4372
(325) 673-0856
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G5644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097197003
—
TX
01
—
8S1531
BCBS
TX
Enumeration date
06/22/2006
Last updated
10/24/2011
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