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Individual

DR. PAUL R KOWALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
Mailing address
9543 W WHITEHORN WAY, PEORIA, AZ 85383-3388

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101259231
VA
2084N0400X
Neurology Physician
33903
AZ
2084N0400X
Neurology Physician
Primary
S3219
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
971243
AZ
Enumeration date
06/07/2006
Last updated
08/26/2021
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