MEDICARE: WILLIAM A. PARUOLO

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	208000000X	Pediatrics Physician	K8409	TX

General Provider Information

NPI Number	:	1649461724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM A. PARUOLO

Provider Business Mailing Address
First Line	:	6053 MAIN ST STE 225
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-4706
Country	:	US
Telephone Number	:	972-370-2425
Fax Number	:	972-370-2591

Provider Business Practice Location Address
First Line	:	6053 MAIN ST STE 225
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-4706
Country	:	US
Telephone Number	:	972-370-2425
Fax Number	:	972-370-2591

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM A. PARUOLO
Credential	:	M.D.
Telephone Number	:	972-370-2425

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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Directions to “WILLIAM A. PARUOLO ” Practice Location

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