Individual
THOMAS PAULUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C5092
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104767001
—
AR
01
—
11419000000
QUALCHOICE
AR
01
—
270320
HEALTH LINK
AR
01
—
4205583
AETNA
AR
01
—
7037
UNITED HEALTH CARE
AR
Enumeration date
04/11/2006
Last updated
11/03/2011
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