Stephanie Alexandra Kubacak, M.D.

NPI #1821086729 in Odessa, Texas

Provider Information

NPI Number: 1821086729
Entity Type: Individual
Name: Stephanie Alexandra Kubacak, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Oct 13, 2005
Last Updated: Aug 8, 2011

Practice Location

Address: 8050 E HIGHWAY 191 STE 200
City: Odessa
State: Texas
ZIP Code: 79765-8607
Phone: (432) 337-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

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