# PAUL S. WORRELL, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093925620
- **Authorized official:** MR. FREDDIE TOMBLIN (OFFICE MANAGER)
- **Authorized official phone:** (214) 349-4909

## Contact information

- **Practice address:** 8668 SKILLMAN ST, DALLAS, TX 75243-8216
- **Practice address phone:** (214) 349-4909
- **Practice address fax:** (214) 349-4973
- **Mailing address:** 8668 SKILLMAN STREET, DALLAS, TX 75243
- **Mailing address phone:** (214) 349-4909
- **Mailing address fax:** (214) 349-4973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F7329 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 04/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SJ05 | MEDICARE PTAN | TX |