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NPI Code Detail

MEDICARE: DR. PAUL ALAN MABRY M.D.

MEDICARE: DR. PAUL ALAN MABRY M.D.
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
1207Q00000XFamily Medicine PhysicianH2549TX

General Provider Information

NPI Number : 1457322208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ALAN MABRY M.D.
Provider Business Mailing Address
First Line : 809 GALLAGHER DR STE D
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number : 903-771-2846
Fax Number : 37-712-8499
Provider Business Practice Location Address
First Line : 809 GALLAGHER DR STE D
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1754
Country : US
Telephone Number : 903-771-2846
Fax Number : 37-712-8499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 07/02/2019

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Directions to “ DR. PAUL ALAN MABRY M.D.” Practice Location

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