Provider Demographics
NPI:1407995624
Name:JOAN W. STOERNER, M.D., P.A.
Entity Type:Organization
Organization Name:JOAN W. STOERNER, M.D., P.A.
Other - Org Name:SUGAR LAND PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:STOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-313-1000
Mailing Address - Street 1:16103 LEXINGTON BLVD
Mailing Address - Street 2:SUITE K
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2385
Mailing Address - Country:US
Mailing Address - Phone:281-313-1000
Mailing Address - Fax:281-313-1001
Practice Address - Street 1:16103 LEXINGTON BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2385
Practice Address - Country:US
Practice Address - Phone:281-313-1000
Practice Address - Fax:281-313-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5625208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty