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Individual
MR. PAUL K REILLEY SR.
Active
Individual
MR. PAUL K REILLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03246
TX
363AS0400X
Surgical Physician Assistant
PA03246
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K01311851
DPS
TX
01
—
PA03246
TEXAS LICENSE
TX
Enumeration date
05/04/2006
Last updated
03/07/2023
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