Provider Demographics
NPI:1366553000
Name:STICH, HOWARD LEE III (DC)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEE
Last Name:STICH
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9007 TINTAGEL ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2046
Mailing Address - Country:US
Mailing Address - Phone:210-680-2254
Mailing Address - Fax:210-928-8997
Practice Address - Street 1:4242 MEDICAL DR
Practice Address - Street 2:SUITE 5100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5640
Practice Address - Country:US
Practice Address - Phone:210-614-4400
Practice Address - Fax:210-614-4477
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24763111N00000X
TX6915111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S7694OtherBCBS