Individual
DR. SEVERIN M POULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9683468-1205
UT
207WX0120X
Cornea and External Diseases Specialist Physician
E10293
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
02/28/2023
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