Organization
THE PAULL ALLERGY AND ASTHMA CLINIC
Active
Other names
The Paull Allergy & Asthma Clinic, PA
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH PAULL (OWNER)
(979) 776-0700
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802-3483
(979) 776-0700
Mailing address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802-3483
(979) 776-0700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L8161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178896001
—
TX
Enumeration date
03/29/2017
Last updated
03/29/2017
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