Stasha Gominak, Md, Pa

LBN: Stasha Gominak, Md, Pa
Stasha Gominak, Md, Pa is an health care organization with primary practice located at 700 Olympic Plaza Cir Suite 912, Tyler TX 75701-1951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Stasha Gominak, Md, Pa can be contacted via phone (903) 596-3808, or through Gominak, Stasha C via phone (903) 596-3808.

Contact Information

Primary practice address
700 Olympic Plaza Cir Suite 912 Tyler TX 75701-1951
Phone: (903) 596-3808
Fax: (903) 596-3815
Website:
Map and Directions
Authorized official contact:
Name: Gominak, Stasha C Doctor of Medicine (MD)
Phone: (903) 596-3808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1356524862
LBN Legal business name Stasha Gominak, Md, Pa
DBA Doing business as
Authorized official Gominak, Stasha C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Sep 28th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356524862 NPPES
Texas Other 0086KV BCBS
Texas Other DB5632 BCBS
Texas MEDICAID 164213401 BCBS

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