Individual
PAUL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 MONTANA AVE STE GANDH, EL PASO, TX 79925-2155
(915) 838-7604
(866) 218-8230
Mailing address
6601 MONTANA AVE STE GANDH, EL PASO, TX 79925-2155
(915) 838-7604
(866) 218-8230
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36004
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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