Individual
MR. STAN ADAM BIALOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
407 CROWN COLONY DR, LUFKIN, TX 75901-7729
(936) 639-1526
Mailing address
407 CROWN COLONY DR, LUFKIN, TX 75901-7729
(936) 639-1526
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
558352
TX
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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