Individual
KEVIN PAGANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-1818
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 947-2727
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APP144744
TX
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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