Organization
THE PAULL ALLERGY & ASTHMA CLINIC, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J PAULL MD (OWNER)
(979) 776-0700
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802
(979) 776-0700
(979) 776-5624
Mailing address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802
(979) 776-0700
(979) 776-5624
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L8161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647190-01
—
TX
05
—
178896001
—
TX
Enumeration date
01/31/2007
Last updated
04/11/2017
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