Healthcare Provider Details

I. General information

NPI: 1336150614
Provider Name (Legal Business Name): JOHN P. STOKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 FM 2920 SUITE C-2
SPRING TX
77388
US

IV. Provider business mailing address

1826 WROXTON RD
HOUSTON TX
77005-1720
US

V. Phone/Fax

Practice location:
  • Phone: 713-817-8141
  • Fax: 866-862-2852
Mailing address:
  • Phone: 713-817-8141
  • Fax: 866-862-2852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number41517
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: