Provider Demographics
NPI:1689671042
Name:STOECKEL, MARK DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:DAVID
Last Name:STOECKEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:450 CYPRESS CREEK RD BLDG 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4195
Mailing Address - Country:US
Mailing Address - Phone:512-249-1400
Mailing Address - Fax:512-249-1800
Practice Address - Street 1:450 CYPRESS CREEK RD BLDG 5
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4195
Practice Address - Country:US
Practice Address - Phone:512-249-1400
Practice Address - Fax:512-249-1800
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2014-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL3845207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B5692Medicare PIN
H01613Medicare UPIN