Dr. Brent R. Paulger
Dermatologist Dermatopathologist MOHS-Micrographic Surgeon
2202 Ithaca Ave
Lubbock
, Texas 79410-1332
Dr. Brent R. Paulger
Dermatologist Dermatopathologist MOHS-Micrographic Surgeon
2202 Ithaca Ave
Lubbock
, Texas 79410-1332
(806) 797-4854
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Brent R. Paulger
- 2202 Ithaca Ave
- Lubbock, TX
- Zip : 79410-1332
- Fax : (806) 797-4854
- Phone : (806) 797-1202
Second Address
- Dr. Brent R. Paulger
- 2202 Ithaca Ave
- Lubbock, TX
- Zip : 79410-1332
- Fax : (806) 797-4854
- Phone : (806) 797-1202
Reviews
FAQs
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Is Dr. Brent R. Paulger a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | J6653 | TX |
| N | 207ND0101X | MOHS-Micrographic Surgeon | J6653 | TX |
| N | 207ND0900X | Dermatopathologist | J6653 | TX |
National Provider Identifier
| NPI | 1093701468 |
|---|---|
| Provider Name | Dr. Brent R. Paulger |
| First Address | Lubbock, TX 79410-1332 |
| Second Address | Lubbock, TX 79410-1332 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 22/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070014509 | HMO BLUE (01) | TX |
| 121179100 | FIRST CARE (01) | TX |
| 8412K0 | BCBS TEXAS (01) | TX |
| G43745 | (02) | TX |
| NM004352 | BCBS NEW MEXICO (01) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.