Paul Leslie Degenaer in Garland - Corneal And Contact Management
Paul Leslie Degenaer - NPI 1790779015
Paul Leslie Degenaer is a Corneal And Contact Management in Garland, Texas. Paul Leslie Degenaer practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Paul Leslie Degenaer is 1790779015. The last update date is 2017-06-11.
Paul Leslie Degenaer's current location address is 1902 Merrimac Trl, Garland, Texas. You can contact this provider via phone number 9725474200 and fax number 9725474202. The mailing address for Paul Leslie Degenaer is 1902 Merrimac Trl, Garland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Leslie Degenaer |
|---|---|
| Address | 1902 Merrimac Trl, Garland, Texas |
| Phone Number | 9725474200 |
| Fax Number | 9725474202 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1790779015 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2017-06-11 |
Provider Mailing Address Detail
| Address | 1902 Merrimac Trl |
|---|---|
| City | Garland |
| State | Texas (TX) |
| Post Code | 750431233 |
| Phone Number | 9725474200 |
| Fax Number | 9725474202 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 4630T |
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What is the unique provider identifier assigned to Paul Leslie Degenaer?
The Paul Leslie Degenaer has been issued the NPI (National Provider Identifier) 1790779015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Paul Leslie Degenaer is physically located?
The Paul Leslie Degenaer is situated at the following address: 1902 Merrimac Trl, Garland, TX 750431233.
What is Paul Leslie Degenaer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Leslie Degenaer's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790779015 to Paul Leslie Degenaer?
The Centers for Medicare & Medicaid Services assigned the 1790779015 to Paul Leslie Degenaer on 2005-09-01.
When was the Paul Leslie Degenaer's information last updated?
The Paul Leslie Degenaer's information was last updated on 2017-06-11.
NPI Number: 1376546309
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