Stockton Roberts Health Center, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J0224 Issued in TX

Legal business name

STOCKTON ROBERTS HEALTH CENTER, PLLC

Doing business as

Trinity Care of Dallas

Practice address

145 Manufacturing St
Dallas, TX 75207-6401

Phone

(214) 828-4702

Fax

(214) 828-4890

NPI assigned

Feb 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stockton Edward Roberts, D.O.

Title

Owner

Phone

(817) 965-2551

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Trinity Care of Dallas Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1245699511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MANUFACTURING ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076401",
            "telephone_number": "214-828-4702",
            "fax_number": "214-828-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MANUFACTURING ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076401",
            "telephone_number": "214-828-4702",
            "fax_number": "214-828-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON ROBERTS HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STOCKTON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-965-2551",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0224",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "J0224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137425821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Care of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee C Stock, DO
• Timothy T Stock, M.D.
• Joseph Clayton Stockett, ATC
• Katelyn Marie Stockman, MD
• Meredith Stocks, LPC
• Lindsey Stockton, M.D.
• Monica Stockton
• Alexis Elizabeth Stockwell, MD
• Carissa Stoddard, PT, DPT
• Colleen Margaret Stoeppel, MD

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.