Individual
DR. PAUL C NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 E CLIFF DR, BLDG. 3 SUITE 100, EL PASO, TX 79902-4732
(915) 545-2600
(915) 533-8950
Mailing address
1225 E CLIFF DR, BLDG. 3 SUITE 100, EL PASO, TX 79902-4732
(915) 545-2600
(915) 533-8950
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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