Provider Demographics
NPI:1386298636
Name:DR STENGEL AND ASSOCIATES PLLC
Entity type:Organization
Organization Name:DR STENGEL AND ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:
Authorized Official - Last Name:STENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-467-3896
Mailing Address - Street 1:610 UPTOWN BLVD STE 2000
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3528
Mailing Address - Country:US
Mailing Address - Phone:817-412-8723
Mailing Address - Fax:214-489-7435
Practice Address - Street 1:1025 SENDERO SPRINGS DR STE 150
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-1154
Practice Address - Country:US
Practice Address - Phone:281-467-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty