Individual
DAVID C STAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 HETHER ST, AUSTIN, TX 78704-3320
(512) 893-1977
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
167185
CA
207Q00000X
Family Medicine Physician
Primary
T4682
TX
Other
Enumeration date
05/28/2015
Last updated
03/30/2022
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