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Ms. Stasha C Gominak, MD
Neurology Physician in Tyler, Texas
NPI 1659486116

Stasha C Gominak is a Neurology Physician based in Tyler, TX and is specialized in Neurology. Stasha C Gominak practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Stasha C Gominak is 1659486116 and holds a License No. G5098 (Texas).

The current practice location address for Stasha C Gominak is 700 Olympic Plaza Cir, Tyler, TX and can be reached out via phone at 903-596-3808 and via fax at 903-596-3815.

Location: 700 Olympic Plaza Cir, Tyler, TX, 75701-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659486116
Provider Name
Stasha C Gominak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 Olympic Plaza Cir, Tyler, TX, 75701-1951
Phone Number
903-596-3808
Fax Number
903-596-3815
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164215901 05 TX
8K7990 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-596-3808
Fax Number
903-596-3815
person
Provider Business Mailing Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-596-3808
Fax Number
903-596-3815
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
G5098 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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