Daniel L Stickler II, M.D.
Individual provider Active NPI General Practice Physician · Driftwood, TX
NPI 1346295698 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1346295698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- S4397 (TX)
- Practice address
- 3353 Tuscany Dr
Driftwood, TX 78619-2056 - Phone
- (512) 560-3694
- Fax
- (828) 330-4985
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144084 | FL | MD | General Practice Physician |
| 2011-01840 | NC | MD | General Practice Physician |
| S4397 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az Medical PLLC | General Practice | Current |
Accepting new patients |
| Michael M Boustany MD Inc | Past | Accepting new patients |
Locations
919 Congress Ave
Ste 525
Austin, TX 78701
Phone (512) 522-0966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME144084 | FL | |
| General Practice Physician | 208D00000X | 2011-01840 | NC | |
| General Practice Physician | 208D00000X | S4397 | TX | Yes |
Addresses
Primary practice location
3353 Tuscany Dr
Driftwood, TX 78619-2056
Mailing address
3353 Tuscany Dr
Driftwood, TX 78619-2056
Phone (512) 560-3694
Other practice location 1
919 Congress Ave Ste 525
Austin, TX 78701-2163
Phone (512) 522-0966
Other providers in Driftwood, TX
- Vedria E Millage
- Next of Kin Homecare Inc
- Obrc Operations, LLC
- Ashley Pribble
- Catherine B Robbins
- Louis Steven Tapia
- Ramon Jacob Umanzor
- Elizabeth Julie Watts
- Frederic Jean Francoise Wilson
- Isabelle Camboulives Xenos
All providers in Driftwood, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.