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Organization
THOMAS F. NEAL, M.D., STAN E. POTOCKI, M.D., PROFESSIONAL ASSOCIATION
Active
Organization
THOMAS F. NEAL, M.D., STAN E. POTOCKI, M.D., PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN E POTOCKI M.D. (OWNER)
(806) 792-5331
Entity
Organization
Contact information
Practice address
3621 22ND ST, STE 300, LUBBOCK, TX 79410-1301
(806) 792-5331
(806) 792-9417
Mailing address
3621 22ND ST, STE 300, LUBBOCK, TX 79410-1301
(806) 792-5331
(806) 792-9417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092DQ
BC/BS
TX
Enumeration date
05/26/2006
Last updated
10/30/2014
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