Provider Demographics
NPI:1538194485
Name:STRIBLING, MORRIS ANTHONY (DPM)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:ANTHONY
Last Name:STRIBLING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E EUCLID AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4709
Mailing Address - Country:US
Mailing Address - Phone:210-224-9214
Mailing Address - Fax:210-224-9254
Practice Address - Street 1:305 E EUCLID AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4709
Practice Address - Country:US
Practice Address - Phone:210-224-9214
Practice Address - Fax:210-224-9254
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110417604Medicaid
TX318683502Medicaid
TX1104176-03Medicaid