Individual
JANICE STACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154530A
—
OK
05
—
105159101
—
TX
05
—
105159102
—
TX
05
—
124624100
—
TX
01
—
124624101
FIRSTCARE COMMERCIAL
TX
01
—
68857
PRESBYTERIAN COMMERCIAL
NM
05
—
68857
—
NM
01
—
80853Z
HMO BLUE
TX
01
—
86E875
BC/BS
TX
01
—
A159
TRIWEST
NM
05
—
Q5263
—
NM
Enumeration date
10/20/2005
Last updated
02/13/2018
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