Individual
WALTER STEPHEN PAVLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 532-1400
Mailing address
111 CROSS TIMBERS ST, LUFKIN, TX 75904-7586
(936) 465-4520
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
583938
TX
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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