Individual
BARRY R PAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3306 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 485-0571
(979) 485-0575
Mailing address
3306 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 485-0571
(979) 485-0575
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F2846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155160-02
—
TX
01
—
121182100
FIRST CARE
TX
01
—
4403117
AETNA
—
01
—
557213
UNITED HEALTH CARE
—
01
—
81Z670
BLUE CROSS BLUE SHIELD
TX
01
—
822149
FIRST HEALTH
—
01
—
97504872
CIGNA
—
Enumeration date
11/03/2005
Last updated
11/09/2012
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