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Contact Information

ANDREA M STARK, DO
2660 GULF FWY S
LEAGUE CITY, TX77573-6820
 Phone: 832-505-2250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ANDREA M STARK · (Female)

NPI Number 1215380753
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/20/2016
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • TX License # U8138
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
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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