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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