Provider Demographics
NPI:1487036612
Name:STENGEL, CLINTON (OD)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:
Last Name:STENGEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 WATSON WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7832
Mailing Address - Country:US
Mailing Address - Phone:281-467-3896
Mailing Address - Fax:
Practice Address - Street 1:1025 SENDERO SPRINGS DR STE 150
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-1154
Practice Address - Country:US
Practice Address - Phone:512-660-5361
Practice Address - Fax:512-862-1843
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8726T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist