Provider Demographics
NPI:1679648836
Name:STIGLER, DEL BARKER (MD)
Entity Type:Individual
Prefix:MR
First Name:DEL
Middle Name:BARKER
Last Name:STIGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:TX
Mailing Address - Zip Code:77836-0490
Mailing Address - Country:US
Mailing Address - Phone:979-567-3287
Mailing Address - Fax:979-567-7821
Practice Address - Street 1:302 W HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:TX
Practice Address - Zip Code:77836-1122
Practice Address - Country:US
Practice Address - Phone:979-567-3287
Practice Address - Fax:979-567-7821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4703207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85560BOtherBCBS
TX081218201Medicaid
TXZ00082AX8Medicaid
TX85560BOtherBCBS
TX081218201Medicaid