Provider Demographics
NPI:1407936024
Name:STUPKA, JOHN ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ERIC
Last Name:STUPKA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12709 TOEPPERWEIN RD
Mailing Address - Street 2:201
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3258
Mailing Address - Country:US
Mailing Address - Phone:210-655-6400
Mailing Address - Fax:210-655-6404
Practice Address - Street 1:12709 TOEPPERWEIN RD
Practice Address - Street 2:201
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3258
Practice Address - Country:US
Practice Address - Phone:210-655-6400
Practice Address - Fax:210-655-6404
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2011-03-18
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Provider Licenses
StateLicense IDTaxonomies
TXN1165207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine