Individual
DR. PAUL S DERESKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3308 PRESTON RD, STE. 350-283, PLANO, TX 75093-7453
(214) 471-5975
Mailing address
45 BASS POND DR, FRISCO, TX 75034-1937
(469) 600-5681
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N5013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242193
—
VA
05
—
302164101
—
TX
05
—
305164102
—
TX
01
—
8DL180
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/13/2006
Last updated
09/10/2019
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