Individual
DR. PAUL WALTER DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E. BROAD ST., SUITE 412, MANSFIELD, TX 76063
(817) 477-0200
(817) 225-0920
Mailing address
2800 E. BROAD ST., SUITE 412, MANSFIELD, TX 76063
(817) 477-0200
(817) 225-0920
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F6559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0984429-01
—
TX
Enumeration date
08/12/2006
Last updated
07/02/2008
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