<Unavail>

LBN: Richard Stovall Md Pa
<Unavail> is an health care organization with primary practice located at 2200 Park Bend Dr Bldg 2, Ste 201, Austin TX 78758-5388. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Richard Stovall Md Pa can be contacted via phone (512) 835-8100, or through Ontiveros, Mandy Lynn via phone (512) 835-8100.

Contact Information

Primary practice address
2200 Park Bend Dr Bldg 2, Ste 201 Austin TX 78758-5388
Phone: (512) 835-8100
Fax: (512) 835-8101
Website:
Map and Directions
Authorized official contact:
Name: Ontiveros, Mandy Lynn
Phone: (512) 835-8100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X K5409 Texas

Profile Details

NPI number 1114004462
LBN Legal business name Richard Stovall Md Pa
DBA Doing business as <Unavail>
Authorized official Ontiveros, Mandy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114004462 NPPES
Texas Other 0098MS BCBS
Texas MEDICAID 175502701 BCBS

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