MEDICARE: DR. PAULA WEDDEL MD

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	207P00000X	Emergency Medicine Physician	38878	CO
2	207Q00000X	Family Medicine Physician	38878	CO
3	207Q00000X	Family Medicine Physician	N7892	TX

General Provider Information

NPI Number	:	1689781817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA WEDDEL MD

Provider Business Mailing Address
First Line	:	2513 SLALOM DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6302
Country	:	US
Telephone Number	:	719-235-7439
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 ALLIED DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5348
Country	:	US
Telephone Number	:	469-814-3278
Fax Number	:

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	01/25/2023

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Directions to “ DR. PAULA WEDDEL MD” Practice Location

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