Stonewall Pediatric Health Center, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STONEWALL PEDIATRIC HEALTH CENTER, LLC

Practice address

1303 S. Unversity Dr
Nacogdoches, TX 75961

Phone

(936) 219-4611

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Desmond Tolbert

Title

Ceo

Phone

(936) 219-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1831031509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S. UNVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75961",
            "telephone_number": "936-219-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S. UNVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75961",
            "telephone_number": "936-219-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWALL PEDIATRIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-219-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Stockman Jr., CRNA
• Kendra Brooks Stockman, CRNA
• Grace Leanne Stockwell, PTA
• Stone Fort Inpatient Services PLLC
• Stonewall Fellowship Church
• Barbara Stracener, RN
• Striplings Pharmacy LLC
• Striplings Pharmacy, LLC
• Strive Clinical Network Inc
• Jason P Suits, MD

• Pediatrics Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.