Kotara, Stanley J.
Kotara, Stanley J. is an individual health care provider with primary practice located at 4110 22Nd Pl , Lubbock TX 79410-1122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kotara, Stanley J. can be contacted via phone (806) 792-4329.Contact Information
Primary practice address
4110 22Nd Pl
Lubbock TX 79410-1122
Phone: (806) 792-4329
Fax: (806) 792-9466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03194 | Texas |
Profile Details
| NPI number | 1699738302 |
|---|---|
| LBN Legal business name | Kotara, Stanley J. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Nov 22nd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699738302 | NPPES |
| Texas | Other | 8Y8601 | BLUE CROSS |
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