Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | H8439 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | H8439 | TX |
NPI | 1306841580 |
---|---|
Provider Name | Dr. Andrew A Stoebner |
First Address | Dallas, TX 75284-4658 |
Second Address | Round Rock, TX 78665-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
099542501 | (05) | TX |
200040954 | RAILROAD MEDICARE (01) | TX |
870758 | BLUE CROSS BLUE SHIELD OF TEXAS (01) | TX |
F79739 | (02) |