Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 159062 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | Q5241 | TX |
NPI | 1013083492 |
---|---|
Provider Name | Charles W Paley |
First Address | Denton, TX 76201 |
Second Address | Denton, TX 76201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 04/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
159062 | LICENSE (01) | NY |
Q5241 | TEXAS MEDICAL BOARD (01) | TX |