MEDICARE: DAVID STONE D.O.

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	208600000X	Surgery Physician	F5384	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00LL96	OTHER	TX	IND. BCBS PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851366991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID STONE D.O.

Provider Business Mailing Address
First Line	:	3000 S HULEN ST STE 124
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1934
Country	:	US
Telephone Number	:	817-877-1911
Fax Number	:	817-877-3764

Provider Business Practice Location Address
First Line	:	3600 HULEN ST STE C1
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6869
Country	:	US
Telephone Number	:	817-877-1911
Fax Number	:	817-877-3764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	11/08/2018

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Directions to “ DAVID STONE D.O.” Practice Location

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