Organization
PAUL C. NOWAK, M.D., F.A.A.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CHRISTOPHER NOWAK MD (OWNER)
(915) 545-2600
Entity
Organization
Contact information
Practice address
1800 N MESA ST STE 102, EL PASO, TX 79902-3554
(915) 545-2600
(915) 533-8950
Mailing address
1800 N MESA ST STE 102, EL PASO, TX 79902-3554
(915) 545-2600
(915) 533-8950
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K5366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033260641
NPI
TX
Enumeration date
07/20/2018
Last updated
07/20/2018
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