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Individual
DR. PAUL C NOWAK
Active
Individual
DR. PAUL C NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K5366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092302101
—
TX
01
—
412159840
TAX ID
TX
Enumeration date
01/12/2007
Last updated
07/08/2007
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