Individual
ITALO R DE PAULA FILHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 865-1700
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 865-1700
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
787936
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1141160
TX
Other
Enumeration date
09/08/2023
Last updated
11/07/2023
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