Healthcare Provider Details

I. General information

NPI: 1962419507
Provider Name (Legal Business Name): PAULETTE M SEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 04/09/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 FM 156 S
HASLET TX
76052-3011
US

IV. Provider business mailing address

PO BOX 733784
DALLAS TX
75373-3784
US

V. Phone/Fax

Practice location:
  • Phone: 817-347-8504
  • Fax: 817-439-8686
Mailing address:
  • Phone: 682-885-1855
  • Fax: 682-885-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP9722
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: