MEDICARE: PAUL ROBERT SEARBY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	14364	TX

General Provider Information

NPI Number	:	1043456056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL ROBERT SEARBY DDS

Provider Business Mailing Address
First Line	:	20320 NORTHWEST FWY
Second Line	:	STE 200
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5641
Country	:	US
Telephone Number	:	832-688-9726
Fax Number	:

Provider Business Practice Location Address
First Line	:	20320 NORTHWEST FWY
Second Line	:	STE 200
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77065-5641
Country	:	US
Telephone Number	:	832-688-9726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2008
Last Update Date	:	12/31/2012

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