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Individual
STACIA HOOKOM GOLLIHAR
Active
Individual
STACIA HOOKOM GOLLIHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220488501
—
TX
01
—
832N58
BCBS
TX
Enumeration date
10/05/2010
Last updated
07/06/2011
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