Healthcare Provider Details

I. General information

NPI: 1033176607
Provider Name (Legal Business Name): PAULA N. STARCHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 11/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12221 MOPAC EXPRESSWAY NORTH
AUSTIN TX
78758-2483
US

IV. Provider business mailing address

12221 MOPAC EXPRESSWAY NORTH
AUSTIN TX
78758-2483
US

V. Phone/Fax

Practice location:
  • Phone: 512-901-4009
  • Fax: 512-901-3992
Mailing address:
  • Phone: 512-901-4009
  • Fax: 512-901-3992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE5421
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: