Provider Demographics
NPI:1588821037
Name:ALLISON JONES STOCKER,M.D,P.A.
Entity Type:Organization
Organization Name:ALLISON JONES STOCKER,M.D,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:STOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-224-1034
Mailing Address - Street 1:516 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1930
Mailing Address - Country:US
Mailing Address - Phone:210-224-1034
Mailing Address - Fax:210-224-1106
Practice Address - Street 1:516 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1930
Practice Address - Country:US
Practice Address - Phone:210-224-1034
Practice Address - Fax:210-224-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6510207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100183601Medicaid
TX00Z933Medicare UPIN