Individual
DR. PATRICK KEVIN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 CENTRAL DR, SUITE 160, BEDFORD, TX 76022-6000
(817) 268-0104
(817) 268-6102
Mailing address
1600 CENTRAL DR, SUITE 160, BEDFORD, TX 76022-6000
(817) 268-0104
(817) 268-6102
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
H0842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006895499
EEOICP WC
TX
01
—
050034040
RAILROAD MEDICARE
TX
01
—
10029778
AMERIGROUP
TX
05
—
116586201
—
TX
01
—
180403400
DEPT OF LABOR KY
TX
01
—
2038806
AETNA HMO
TX
01
—
4389604
AETNA PPO
TX
01
—
528905
FIRST HEALTH
TX
01
—
86W011
BLUE CROSS BLUE SHIELD
TX
01
—
DOH0842
TEXAS WORK COMP
TX
Enumeration date
11/02/2006
Last updated
03/07/2013
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