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Individual

PAUL SUBRT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1331 WEST GRAND PARKWAY NORTH, 370, KATY, TX 77493
(281) 392-1177
Mailing address
1331 W GRAND PARKWAY N, 370, KATY, TX 77493
(281) 391-1177
(281) 392-1125

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G0174
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8K8414
BCBS PROVIDER #
TX
Enumeration date
08/13/2006
Last updated
07/08/2007
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