Healthcare Provider Details

I. General information

NPI: 1821803032
Provider Name (Legal Business Name): GAIL ELLEN PAPAYANOPOLUS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13047 KALINOSKI
SAINT HEDWIG TX
78152-3504
US

IV. Provider business mailing address

13047 KALINOSKI
SAINT HEDWIG TX
78152-3504
US

V. Phone/Fax

Practice location:
  • Phone: 210-330-5380
  • Fax:
Mailing address:
  • Phone: 210-330-5380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number656057
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: