Potocki, Stan E

Potocki, Stan E is an individual health care provider with primary practice located at 3621 22Nd St Ste 300, Lubbock TX 79410-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Potocki, Stan E can be contacted via phone (806) 792-5331.

Contact Information

Primary practice address
3621 22Nd St Ste 300 Lubbock TX 79410-1301
Phone: (806) 792-5331
Fax: (806) 792-9417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J8719 Texas

Profile Details

NPI number 1548209810
LBN Legal business name Potocki, Stan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 23rd, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548209810 NPPES
Texas MEDICAID 029832501
Texas Other 040016967
Texas Other 88681X

Popular Providers