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Organization
PAPPAS MEDICAL CLINIC PA
Active
Organization
PAPPAS MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUIFUN LILA PAPPAS MD (OWNER)
(903) 831-6312
Entity
Organization
Contact information
Practice address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(903) 831-6312
(903) 838-3613
Mailing address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(903) 831-6312
(903) 838-3613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050LE
BLUE CROSS
TX
05
—
154345002
—
AR
05
—
165546601
—
TX
01
—
9R062
BLUE CROSS
AR
01
—
DC2163
RAILROAD MEDICARE
TX
Enumeration date
06/18/2006
Last updated
11/11/2009
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