Organization
WEST TEXAS LUNG CLINIC PA
Active
Organization
WEST TEXAS LUNG CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA STOJANOVIC MD (PRESIDENT)
(325) 670-4033
Entity
Organization
Contact information
Practice address
1904 PINE ST, STE. 4C, ABILENE, TX 79601-2449
(325) 670-4033
(325) 670-4051
Mailing address
1904 PINE ST, STE. 4C, ABILENE, TX 79601-2449
(325) 670-4033
(325) 670-4051
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K7622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079MQ
BC/BS
TX
01
—
124859101
FIRST CARE
TX
05
—
175257801
—
TX
Enumeration date
10/18/2007
Last updated
06/10/2015
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