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Individual

MARY PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3555
(832) 825-3308
Mailing address
1102 BATES AVE STE 630, HOUSTON, TX 77030-2617
(832) 822-1038
(832) 825-1281

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
H8313
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133116701
TX
Enumeration date
10/17/2006
Last updated
06/14/2011
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