Ms. Stasha C Gominak is a Tyler, Texas based neurologist who is specialized in Neurology. Active license number of Ms. Stasha C Gominak is G5098 for Neurology in Texas. Her current practice location is 700 Olympic Plaza Cir, Ste 912, Tyler. Patients can reach her at 903-596-3808 or can fax her at 903-596-3815. Ms. Stasha C Gominak is MD in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1659486116. Ms. Stasha C Gominak 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.
Complete Profile:
Ms. Stasha C Gominak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Stasha C Gominak
Specialization:
Neurology
Gender:
Female
Credentials:
MD
Practice Address:
700 Olympic Plaza Cir, Ste 912, Tyler, Texas, 75701-1951
Phone:
903-596-3808
Fax:
903-596-3815
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1659486116
NPI Enumeration Date:
21 Aug, 2006
NPI Last Update On:
30 Jul, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Stasha C Gominak are as mentioned below.
License Number
Specialization
State
Status
G5098
Neurology
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Stasha C Gominak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
164215901
Medicaid
Texas
8K7990
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Stasha C Gominak 700 Olympic Plaza Cir, Ste 912 Tyler, Texas
Zip:
75701-1951
Phone Number:
903-596-3808
Fax Number:
903-596-3815
Patients can reach Ms. Stasha C Gominak at 700 Olympic Plaza Cir, Ste 912, Tyler, Texas or can call to book an appointment on 903-596-3808.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.