Provider Demographics
NPI:1336335124
Name:TOROK, STEPHEN R (PA)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:R
Last Name:TOROK
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 10426
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78460-0426
Mailing Address - Country:US
Mailing Address - Phone:361-241-6700
Mailing Address - Fax:361-241-4302
Practice Address - Street 1:1210 GREGORY ST STE 2
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:TX
Practice Address - Zip Code:78390-3045
Practice Address - Country:US
Practice Address - Phone:361-528-2595
Practice Address - Fax:361-528-3452
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
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Provider Licenses
StateLicense IDTaxonomies
TXPA00119363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical