MEDICARE: ALLISON JONES STOCKER,M.D,P.A.

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	207N00000X	Dermatology Physician	J6510	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588821037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLISON JONES STOCKER,M.D,P.A.

Provider Business Mailing Address
First Line	:	516 LEXINGTON AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1930
Country	:	US
Telephone Number	:	210-224-1034
Fax Number	:	210-224-1106

Provider Business Practice Location Address
First Line	:	516 LEXINGTON AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1930
Country	:	US
Telephone Number	:	210-224-1034
Fax Number	:	210-224-1106

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN
Name	:	DR. ALLISON JONES STOCKER
Credential	:	M.D.
Telephone Number	:	210-224-1034

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	12/22/2008

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