Provider Demographics
NPI:1467631598
Name:DEL B. STIGLER M.D.
Entity type:Organization
Organization Name:DEL B. STIGLER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEL
Authorized Official - Middle Name:BARKER
Authorized Official - Last Name:STIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-567-3287
Mailing Address - Street 1:302 W HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:TX
Mailing Address - Zip Code:77836-1122
Mailing Address - Country:US
Mailing Address - Phone:979-567-3287
Mailing Address - Fax:979-567-7821
Practice Address - Street 1:302 HIGHWAY 21 WEST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:TX
Practice Address - Zip Code:77836-0000
Practice Address - Country:US
Practice Address - Phone:979-567-3287
Practice Address - Fax:979-567-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4703207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0082AXMedicare PIN