Provider Demographics
NPI:1639509631
Name:STOKES, ROBERT FARRELL JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FARRELL
Last Name:STOKES
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:8300 N LAMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5976
Mailing Address - Country:US
Mailing Address - Phone:512-782-9312
Mailing Address - Fax:512-782-9316
Practice Address - Street 1:8300 N LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5976
Practice Address - Country:US
Practice Address - Phone:512-782-9316
Practice Address - Fax:512-782-9316
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2021-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA12998363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical