Individual
DR. PAUL MARK SCIBIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5402 S. STAPLES ST., #205, CORPUS CHRISTI, TX 78411
(361) 882-3487
(361) 882-3811
Mailing address
11770 JOLLYVILLE RD, AUSTIN, TX 78759
(512) 732-2774
(512) 331-5192
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M8323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00712N
MEDICARE GROUP PTAN
TX
05
—
081040002
—
TX
01
—
8K8210
INDIVIDUAL MEDICARE PTAN
TX
Enumeration date
06/14/2007
Last updated
06/24/2015
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