Organization
LAKEWOOD IOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SCHULMAN (MANAGER)
(214) 269-3875
Entity
Organization
Contact information
Practice address
7324 GASTON AVE STE 124, DALLAS, TX 75214-6190
(214) 269-3875
(903) 328-6568
Mailing address
7324 GASTON AVE STE 124, DALLAS, TX 75214-6190
(214) 269-3875
(903) 328-6568
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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