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General NPI Number Information
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NPI Number | 1669490090
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Entity Type | Individual
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Provider Name | MATTHEW STALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 311 CAMDEN ST SUITE 208
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2012
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Country | US
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Telephone | 210-892-0028
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Fax | 210-455-0169
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Provider Business Mailing Address
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Address Line | 311 CAMDEN ST SUITE 208
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2012
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Country | US
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Telephone | 210-892-0228
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Fax | 210-455-0169
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036144474
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2025021784
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M4564
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License Number State | TX
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