Individual
RON PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 BLACKSTOCK LN, LAKE JACKSON, TX 77566-3806
(979) 265-6000
Mailing address
220 BLACKSTOCK LN, LAKE JACKSON, TX 77566-3806
(979) 265-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO721
TX
207VX0000X
Obstetrics Physician
D0721
TX
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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