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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699738302 NPPES
Texas Other 8Y8601 BLUE CROSS

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