Individual
TONY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Mailing address
130 JEFFERSON ST, P O BOX 740, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200164
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365149
—
LA
Enumeration date
01/24/2008
Last updated
08/06/2013
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