Individual
DR. GEORGE A STOVALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 LONDONDERRY DR, SUITE 303, WACO, TX 76712-7924
(254) 399-6730
(254) 399-6738
Mailing address
405 LONDONDERRY DR, SUITE 303, WACO, TX 76712-7924
(254) 399-6730
(254) 399-6738
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H1726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133165410
—
TX
Enumeration date
05/10/2006
Last updated
03/06/2012
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