Healthcare Provider Details

I. General information

NPI: 1720050768
Provider Name (Legal Business Name): PAULA SABINO TEIXEIRA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 PARAMOUNT DR STE 203
RAYNHAM MA
02767-5416
US

IV. Provider business mailing address

PO BOX 9132
BROOKLINE MA
02446-9132
US

V. Phone/Fax

Practice location:
  • Phone: 508-738-6740
  • Fax: 508-386-2913
Mailing address:
  • Phone: 800-927-0002
  • Fax: 603-890-1236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1356
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: