Individual
DR. PAVLOS PAPAVASILIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, STE. 160, DALLAS, TX 75246-2003
(214) 826-9797
(214) 828-2089
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD439130
PA
2086X0206X
Surgical Oncology Physician
Primary
P3051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294803602
—
TX
05
—
372847401
—
TX
01
—
P01314323
RAILROAD MEDICARE
TX
Enumeration date
05/23/2007
Last updated
02/04/2022
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