Individual
STANLEY P SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 CENTRAL BLVD, SUITE 420, BROWNSVILLE, TX 78520-7552
(956) 542-9900
(956) 574-0003
Mailing address
844 CENTRAL BLVD, SUITE 420, BROWNSVILLE, TX 78520-7552
(956) 542-9900
(956) 574-0003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0587
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M0587
TX
207RP1001X
Pulmonary Disease Physician
Primary
M0587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177739304
—
TX
01
—
177739305
MEDICAID CSN
TX
01
—
8V3285
BLUE CROSS BLUE SHIELD
TX
01
—
8V3450
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/13/2006
Last updated
07/29/2020
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