Active NPI
Leslie F Stork, M.D.
- Adult Medicine Physician
- Bulverde, TX
National Provider Identifier
1831197847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- M7660
- Practice address
- 32665 US Highway 281 N
Suite 202
Bulverde, TX 78163-3124 - Phone
- (830) 980-8433
- Fax
- (830) 980-8442
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | M7660 | TX | Primary |
Addresses
Primary practice location
32665 US Highway 281 N
Suite 202
Bulverde, TX 78163-3124
Mailing address
8637 Fredericksburg Road
Suite 360
San Antonio, TX 78240
Phone (210) 949-4179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1831197847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 FREDERICKSBURG ROAD",
"address_2": "SUITE 360",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-949-4179",
"fax_number": "210-617-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32665 US HIGHWAY 281 N",
"address_2": "SUITE 202",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781633124",
"telephone_number": "830-980-8433",
"fax_number": "830-980-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORK",
"first_name": "LESLIE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "M7660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.