Christian L Stallworth MD PLLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

CHRISTIAN L STALLWORTH MD PLLC

Practice address

3103 Napier Park
Shavano Park, TX 78231-1549

Phone

(210) 616-0301

Fax

(210) 616-0302

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Christian L Stallworth, MDNPI 1346424835

Title

President

Phone

(210) 616-0301

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian L Stallworth, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Antonio, TX
  • NPI 1346424835
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Rokosz, MD

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1215322078
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1952072761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401670",
            "telephone_number": "210-616-0301",
            "fax_number": "210-616-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 NAPIER PARK",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311549",
            "telephone_number": "210-616-0301",
            "fax_number": "210-616-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN L STALLWORTH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-616-0301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Lynn Carry, MD
• Sarah Casola, PMHNP-BC
• Kelli Chandler, MA, LPC
• Micah Chapman
• Sumeet Naresh Chavan, MD
• Christopher J Micallef DO PLLC (Micallef Plastic Surgery)
• City of Shavano Park
• Robert O. Cone III, M.D.
• Consultants in Pain Medicine, PLLC
• Stephen L Cunningham, M.D.

• Otolaryngology/Facial Plastic Surgery Physician in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.