Individual
ROBERT M STANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1105 W FRANK AVE, STE. 290, LUFKIN, TX 75904-3303
(936) 699-5040
(936) 699-5039
Mailing address
2508 HANKS ST, LUFKIN, TX 75904-5404
(936) 637-0778
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03586
TX
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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