Alan Stockard, D.O., P.a.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

E6970 Issued in TX

Legal business name

ALAN STOCKARD, D.O., P.A.

Practice address

609 Medical Center Dr
Suite #2400
Decatur, TX 76234-3836

Phone

(940) 626-4040

Fax

(940) 626-4038

NPI assigned

Jan 31, 2008

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan R Stockard, D.O.

Title

Owner

Phone

(940) 626-4040

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1366620460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "address_2": "SUITE #2400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-4040",
            "fax_number": "940-626-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "address_2": "SUITE #2400",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-4040",
            "fax_number": "940-626-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN STOCKARD, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "STOCKARD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-626-4040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "E6970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0065RP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DN6959",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.