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NPI Code Detail

MEDICARE: DR. RICHARD ALFRED STOEBNER M.D.

MEDICARE: DR. RICHARD ALFRED STOEBNER M.D.
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
1207RC0000XCardiovascular Disease Physician0101251314VA
2207RC0000XCardiovascular Disease PhysicianN8859TX

General Provider Information

NPI Number : 1083651400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ALFRED STOEBNER M.D.
Provider Business Mailing Address
First Line : 1111 E CESAR CHAVEZ ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-4209
Country : US
Telephone Number : 512-978-8130
Fax Number : 512-406-6216
Provider Business Practice Location Address
First Line : 2802 WEBBERVILLE RD
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2947
Country : US
Telephone Number : 512-978-8113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 10/17/2025

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