Search › Texas › 363A00000X
Stephan Polansky, PA-C
NPI 1841543980 · on the registry since 2012 · sole proprietor
Practice
- Address
- 615 Main St Ste 104
Frisco, TX 75036 - Phone
- (469) 200-5477
- Organisation at this address
- Koudds Texas Pllc
Myfitmed Provider PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-25
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