Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 20877 | TX |
Y | 1223G0001X | General Practice | 20877 | TX |
Y | 213EG0000X | General Practice | 20877 | TX |
NPI | 1457469694 |
---|---|
Provider Name | Dr. Paul Sunghee Ro |
First Address | El Paso, TX 79930-1121 |
Second Address | El Paso, TX 79903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 18/09/2018 |