MEDICARE: MRS. PAULA JOSEPHINE WORLEY FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	243467	TX
2	363LF0000X	Family Nurse Practitioner	AP117115	TX

General Provider Information

NPI Number	:	1003064445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAULA JOSEPHINE WORLEY FNP-BC

Provider Business Mailing Address
First Line	:	8711 VILLAGE DR STE 114
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5419
Country	:	US
Telephone Number	:	512-754-7700
Fax Number	:	512-754-0012

Provider Business Practice Location Address
First Line	:	66 GRUENE PARK DR STE 205
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2219
Country	:	US
Telephone Number	:	830-743-9192
Fax Number	:	830-743-9193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	03/17/2018

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