Healthcare Provider Details
I. General information
NPI: 1821177940
Provider Name (Legal Business Name): ERNEST L STONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2701 HOSPITAL DR
VICTORIA TX
77901-5748
US
IV. Provider business mailing address
2701 HOSPITAL DR
VICTORIA TX
77901-5748
US
V. Phone/Fax
- Phone: 361-573-9181
- Fax:
- Phone: 361-573-9181
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | H2813 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: