Individual
PAUL MARTIN KNECHTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 689-9500
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51547
WI
2085R0202X
Diagnostic Radiology Physician
C0608
KY
2085R0202X
Diagnostic Radiology Physician
D0093550
MD
2085R0202X
Diagnostic Radiology Physician
V4834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518048636
—
WI
05
—
4757135
—
MI
Enumeration date
10/17/2006
Last updated
11/17/2025
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