MEDICARE: PAULINA PAWLIKOWSKI FNP-C

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	363LF0000X	Family Nurse Practitioner	1053882233	TX
2	363LF0000X	Family Nurse Practitioner	AP142908	TX
3	163WG0000X	General Practice Registered Nurse	850824	TX

General Provider Information

NPI Number	:	1053882233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA PAWLIKOWSKI FNP-C

Provider Business Mailing Address
First Line	:	4716 ALLIANCE BLVD
Second Line	:	PAVILION II STE 300
City	:	PLANO
State	:	TX
Zip	:	75093-5314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 MEDICAL ARTS DR STE 300
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1724
Country	:	US
Telephone Number	:	972-874-2042
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	11/20/2024

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