Stanley Self, MD

NPI #1902946916 in Rusk, Texas

Provider Information

NPI Number
1902946916
Entity Type
Individual
Name
Stanley Self, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychiatry & Neurology - Forensic Psychiatry
Credential
MD
Enumeration Date
Feb 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1601 NORTH DICKINSON DRIVE
City
Rusk
State
Texas
ZIP Code
75785
Phone
(903) 683-3421

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Forensic PsychiatryForensic Psychiatry

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