SearchTexas163WC0200X

Staci Roark, BSN, RN, CA/CP SANE

NPI 1023824075 · on the registry since 2024 · sole proprietor

Practice

Address
602 Indiana Ave
Lubbock, TX 79415
Phone
(806) 775-9700
Organisation at this address
Ko Anesthesia, Llc
University Medical Center
Lubbock County Hospital District
Lubbock County Hospital District
Lubbock County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
163WC0200X
163WC0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas