Healthcare Provider Details

I. General information

NPI: 1144511668
Provider Name (Legal Business Name): PAUL EDWARD ROUND D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 E PALMDALE BLVD
PALMDALE CA
93550-4037
US

IV. Provider business mailing address

4900 MUELLER BLVD STE 3S-066C UT SOUTHWESTERN AUSTIN, DELL CHILDREN'S MEDICAL CENTER
AUSTIN TX
78723-3051
US

V. Phone/Fax

Practice location:
  • Phone: 661-942-2391
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP1-0039539
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: