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Individual

PAUL C PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
7305-A WALLACE BLVD, AMARILLO, TX 79106-1815
(806) 356-0151
(806) 457-1656
Mailing address
7305 WALLACE BLVD, AMARILLO, TX 79106-1815
(806) 356-0151
(806) 457-1656

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1389
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092747701
TX
Enumeration date
06/15/2006
Last updated
08/25/2008
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