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Search › Texas › 103TC2200X

Kevin Stark, PH.D

NPI 1447404918 · on the registry since 2008 · sole proprietor

Practice

Address
1600 W 38th St Ste 212
Austin, TX 78731
Phone
(512) 324-3315
Fax
(512) 324-3314
Organisation at this address
Vitae Clinic Inc
Seton Healthcare
Agilitas Usa, Inc
Renatus Health Llc
Nazrul Islam Md, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Also registered as
103TB0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas