Individual
PAULA L. MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4100 DUVAL RD, BLDG 3 SUITE 200, AUSTIN, TX 78759-3550
(512) 485-7200
(512) 485-7220
Mailing address
4510 WEST DR, BELTON, TX 76513-4762
(254) 231-9636
(254) 939-7711
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
541187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088301901
—
TX
Enumeration date
03/09/2006
Last updated
12/16/2014
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