Provider Demographics
NPI:1689683674
Name:EARLY, JOHN STOCKTON (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STOCKTON
Last Name:EARLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12228 N CENTRAL EXPY STE 410
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3797
Mailing Address - Country:US
Mailing Address - Phone:972-566-5255
Mailing Address - Fax:972-566-5236
Practice Address - Street 1:12228 N CENTRAL EXPY STE 410
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3797
Practice Address - Country:US
Practice Address - Phone:972-566-5255
Practice Address - Fax:972-566-5236
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3876207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118577905Medicaid
TX8B8439OtherBCBS
TX118577904Medicaid
TX118577904Medicaid
TX118577905Medicaid
E43859Medicare UPIN