Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | N7882 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | N7882 | TX |
NPI | 1245430289 |
---|---|
Provider Name | Kristopher George Stockton |
First Address | Austin, TX 78759-4107 |
Second Address | Austin, TX 78705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 04/05/2021 |