MEDICARE: EUGENE STOKES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	F7202	TX

General Provider Information

NPI Number	:	1336120989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE STOKES MD

Provider Business Mailing Address
First Line	:	PO BOX 22000
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76902-7200
Country	:	US
Telephone Number	:	325-658-1511
Fax Number	:

Provider Business Practice Location Address
First Line	:	4450 SUNSET DRIVE
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904
Country	:	US
Telephone Number	:	325-658-1511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/16/2007

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