Stan E Potocki is a Otolaryngology in Lubbock, Texas. Stan E Potocki practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Stan E Potocki is 1548209810. The last update date is 2009-06-23.
Stan E Potocki's current location address is 3621 22nd St, Lubbock, Texas. You can contact this provider via phone number 8067925331 and fax number 8067929417. The mailing address for Stan E Potocki is 3621 22nd St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stan E Potocki |
|---|---|
| Address | 3621 22nd St, Lubbock, Texas |
| Phone Number | 8067925331 |
| Fax Number | 8067929417 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548209810 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2009-06-23 |
Provider Mailing Address Detail
| Address | 3621 22nd St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101301 |
| Phone Number | 8067925331 |
| Fax Number | 8067929417 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | J8719 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29832501 | TX | -- | |
| 40016967 | TX | RAILROAD MEDICARE | |
| 88681X | TX | BC/BS |
Post Comment/ Review Below
What is the unique identification code assigned to Stan E Potocki by the Centers for Medicare & Medicaid Services?
The Stan E Potocki has been issued the NPI (National Provider Identifier) 1548209810. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stan E Potocki is located?
The Stan E Potocki is situated at the following address: 3621 22Nd St, Lubbock, TX, 794101301.
What is the Stan E Potocki's specialty and taxonomy code?
The Stan E Potocki's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did the Stan E Potocki receive its 1548209810 assignment from the Centers for Medicare & Medicaid Services?
The Stan E Potocki was assigned its 1548209810 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information regarding Stan E Potocki, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stan E Potocki, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-06-23.
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