Individual
DR. LESLIE F STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32665 US HIGHWAY 281 N, SUITE 202, BULVERDE, TX 78163-3124
(830) 980-8433
(830) 980-8442
Mailing address
8637 FREDERICKSBURG ROAD, SUITE 360, SAN ANTONIO, TX 78240
(210) 949-4179
(210) 617-4075
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
M7660
TX
Other
Enumeration date
07/13/2005
Last updated
09/26/2008
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