Stark, James M.

Stark, James M. is an individual health care provider with primary practice located at 6431 Fannin St Msb 3.228, Houston TX 77030-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Stark, James M. can be contacted via phone (713) 500-5650.

Contact Information

Primary practice address
6431 Fannin St Msb 3.228 Houston TX 77030-1501
Phone: (713) 500-5650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X L6654 Texas

Profile Details

NPI number 1487671905
LBN Legal business name Stark, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487671905 NPPES
Texas Other 8F7508 BCBSTX UTP
Texas MEDICAID 0925397 BCBSTX UTP
Texas MEDICAID 158158903(UTP) BCBSTX UTP
Texas Other 8DD194 BCBSTX UTP
Texas MEDICAID 158158905 (MDACC) BCBSTX UTP

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