=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295065720
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DILIP K. PAL, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2010
-----------------------------------------------------
Last Update Date | 01/06/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3601 22ND PL STE A
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79410-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-797-9666
-----------------------------------------------------
Fax | 806-793-3865
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3601 22ND PL STE A
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79410-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-797-9666
-----------------------------------------------------
Fax | 806-793-3865
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DILIP K PAL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 806-797-9666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------