Individual
DR. BRENT R. PAULGER
Active
Individual
DR. BRENT R. PAULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6653
TX
207ND0101X
MOHS-Micrographic Surgery Physician
J6653
TX
207ND0900X
Dermatopathology Physician
J6653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014509
HMO BLUE
TX
01
—
121179100
FIRST CARE
TX
01
—
8412K0
BCBS TEXAS
TX
01
—
NM004352
BCBS NEW MEXICO
NM
Enumeration date
09/21/2005
Last updated
05/22/2020
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