Individual
DR. DONALD R PAEK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 BRYANT IRVIN RD, SUITE 102, FORT WORTH, TX 76132-4029
(817) 294-4184
(817) 294-4198
Mailing address
5701 BRYANT IRVIN RD, SUITE 102, FORT WORTH, TX 76132-4029
(817) 294-4184
(817) 294-4198
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
GA188
TX
Other
Enumeration date
07/27/2005
Last updated
06/18/2008
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