Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 32436 | TX |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 32436 | TX |
NPI | 1588985899 |
---|---|
Provider Name | Dr. Mona M Stone |
First Address | Westlake, TX 76262 |
Second Address | Westlake, TX 76262-8649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 18/11/2020 |