Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 22568 | TX |
Y | 103TC0700X | Clinical Psychologist | 22568 | TX |
NPI | 1013036912 |
---|---|
Provider Name | Dr. Ronald George Paulman |
First Address | Dallas, TX 75231-5032 |
Second Address | Dallas, TX 75231-5032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R57765 | (02) | TX |