Paulger, Brent R.

Paulger, Brent R. is an individual health care provider with primary practice located at 2202 Ithaca Ave , Lubbock TX 79410-1332. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Paulger, Brent R. can be contacted via phone (806) 797-1202.

Contact Information

Primary practice address
2202 Ithaca Ave Lubbock TX 79410-1332
Phone: (806) 797-1202
Fax: (806) 797-4854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X J6653 Texas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X J6653 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X J6653 Texas

Profile Details

NPI number 1093701468
LBN Legal business name Paulger, Brent R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093701468 NPPES
New Mexico Other NM004352 BCBS NEW MEXICO
New Mexico Other 070014509 BCBS NEW MEXICO
New Mexico Other 121179100 BCBS NEW MEXICO
New Mexico Other 8412K0 BCBS NEW MEXICO

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