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Stanley Self (MD)

Stanley Self (MD) is a health care provider specializes in Psychiatry & Neurology.

profile-icon Basic Information

Practice Location 1601 North Dickinson Drive, Rusk, TX 75785, US
Practice Location Phone903-683-3421
Practice Location Fax
GenderMale
Specialty InPsychiatry & Neurology
NPI ?1902946916
Entity TypeIndividual
Enumeration Date ? Feb 7, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Stanley Self

SpecialtySpecializationLicenseLicense State
Psychiatry & NeurologyForensic Psychiatry H4693Texas

legacy-id-icon Legacy Provider IDs of Stanley Self

Provider IdIssuer StateIssuer TypeIssuer
E20058TexasMedicare Upin
80748BTexasMedicare Id-type Unspecified