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Contact Information

DALE A STAGGEMEIER JR, MD
205 E LAVIELLE ST
KIRBYVILLE, TX75956
 Phone: 409-489-8938
 Fax: 251-260-8205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DALE A STAGGEMEIER JR · (Male)

NPI Number 1346354941
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 05/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M0627
  • TX Medicaid 175132303
  • Other 11609982 CAQH NUMBER
Hospital affiliation(s)
  • CHRISTUS JASPER MEMORIAL HOSPITAL - (Acute Care)
    1275 MARVIN HANCOCK DRIVE
    JASPER, TX 75951
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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