Paulina Purnama is a Surgical in Southlake, Texas. Paulina Purnama practices all healthcare services and medical treatments related to Surgical. The NPI Number for Paulina Purnama is 1275724981. The last update date is 2022-07-21.
Paulina Purnama's current location address is 2600 E Southlake Blvd Ste 120-177, Southlake, Texas. You can contact this provider via phone number 4697083989. The mailing address for Paulina Purnama is 2600 E Southlake Blvd Ste 120-177, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paulina Purnama |
|---|---|
| Address | 2600 E Southlake Blvd Ste 120-177, Southlake, Texas |
| Phone Number | 4697083989 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275724981 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2600 E Southlake Blvd Ste 120-177 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926634 |
| Phone Number | 4697083989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA11021 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Paulina Purnama's unique identification number?
The Paulina Purnama has been assigned the NPI (National Provider Identifier) Number 1275724981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Paulina Purnama is located?
The Paulina Purnama is situated at the following address: 2600 E Southlake Blvd Ste 120-177, Southlake, TX, 760926634.
What is the area of specialization for Paulina Purnama, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paulina Purnama is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did the Paulina Purnama receive its 1275724981 assignment from the Centers for Medicare & Medicaid Services?
The Paulina Purnama was assigned its 1275724981 by the Centers for Medicare & Medicaid Services on 2007-08-07.
When was the information regarding Paulina Purnama most recently updated?
The details pertaining to the Paulina Purnama, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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