Individual
PAUL TIMOTHY MORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85N561
MEDICARE
TX
01
—
8N3050
BCBS
TX
01
—
970009608
RAILROAD MEDICARE
TX
Enumeration date
08/09/2006
Last updated
04/16/2015
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