MEDICARE: KEVIN J PAUZA MD

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	208100000X	Physical Medicine & Rehabilitation Physician	J7127	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700978764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN J PAUZA MD

Provider Business Mailing Address
First Line	:	2911 TURTLE CREEK BLVD STE 925
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-6292
Country	:	US
Telephone Number	:	903-593-2222
Fax Number	:	903-593-0142

Provider Business Practice Location Address
First Line	:	2911 TURTLE CREEK BLVD STE 925
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-6292
Country	:	US
Telephone Number	:	903-593-2222
Fax Number	:	903-593-0142

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	03/25/2025

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