Individual
PAUL LYNDON PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14805 TRINITY BLVD, FORT WORTH, TX 76155-2609
(817) 318-1700
Mailing address
1105 QUAIL VALLEY LN UNIT 115, ARLINGTON, TX 76011-2892
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G9186
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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