Individual
MARY ELIZABETH PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-2992
(214) 648-2087
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-2992
(214) 648-2087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K3626
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
K3626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104532001
—
TX
Enumeration date
03/23/2006
Last updated
02/09/2012
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