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Individual

KEITH J PAULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3251 HARVEY RD, COLLEGE STATION, TX 77845-9407
(979) 776-0700
(979) 776-5624
Mailing address
3251 HARVEY RD, COLLEGE STATION, TX 77845-9407
(979) 776-0700
(979) 776-5624

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L8161
TX
207K00000X
Allergy & Immunology Physician
L8161
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164719002
TX
Enumeration date
08/30/2005
Last updated
02/10/2026
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