Individual
JULIE PAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12200 PARK CENTRAL DR, STE 403, DALLAS, TX 75251-2126
(972) 774-9990
Mailing address
PO BOX 660046, DALLAS, TX 75266-0046
(214) 369-8555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H3595
TX
207VG0400X
Gynecology Physician
H3595
TX
207VM0101X
Maternal & Fetal Medicine Physician
H3595
TX
207VX0000X
Obstetrics Physician
H3595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
943418344
TAX ID
TX
Enumeration date
06/27/2005
Last updated
12/29/2008
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