Stanley J. Kotara, PA

NPI #1699738302 in Lubbock, Texas

Provider Information

NPI Number: 1699738302
Entity Type: Individual
Name: Stanley J. Kotara, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 11, 2006
Last Updated: Nov 22, 2011

Practice Location

Address: 4110 22ND PL
City: Lubbock
State: Texas
ZIP Code: 79410-1122
Phone: (806) 792-4329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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