Self, Stanley

Self, Stanley is an individual health care provider with primary practice located at 1601 North Dickinson Drive , Rusk TX 75785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Self, Stanley can be contacted via phone (903) 683-3421.

Contact Information

Primary practice address
1601 North Dickinson Drive Rusk TX 75785
Phone: (903) 683-3421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X H4693 Texas

Profile Details

NPI number 1902946916
LBN Legal business name Self, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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