Upchurch, Stanley
Upchurch, Stanley is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Upchurch, Stanley can be contacted via phone (903) 315-2000.Contact Information
Primary practice address
700 E Marshall Ave
Longview TX 75601-5580
Phone: (903) 315-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J5656 | Texas |
Profile Details
| NPI number | 1083603021 |
|---|---|
| LBN Legal business name | Upchurch, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 30th, 2018 - about 7 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 | 1083603021 | NPPES |
| Texas | MEDICAID | 103947101 | |
| Texas | MEDICAID | 103947109 |
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