Organization
MAVERICK PHYSICIAN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAWLOWSKI MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
3333 N FOSTER MALDONADO BLVD, EAGLE PASS, TX 78852-5893
(830) 773-5321
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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