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NPI Code Detail

MEDICARE: DR. MARK DAVID STOECKEL MD

MEDICARE:  DR. MARK DAVID STOECKEL  MD
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
1207Q00000XFamily Medicine PhysicianL3845TX

General Provider Information

NPI Number : 1689671042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DAVID STOECKEL MD
Provider Business Mailing Address
First Line : 450 CYPRESS CREEK RD BLDG 5
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-4195
Country : US
Telephone Number : 512-249-1400
Fax Number : 512-249-1800
Provider Business Practice Location Address
First Line : 450 CYPRESS CREEK RD BLDG 5
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-4195
Country : US
Telephone Number : 512-249-1400
Fax Number : 512-249-1800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/26/2014

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Directions to “ DR. MARK DAVID STOECKEL MD” Practice Location

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