Purnama, Paulina

Purnama, Paulina is an individual health care provider with primary practice located at 2600 E Southlake Blvd Ste 120-177 , Southlake TX 76092-6634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Purnama, Paulina can be contacted via phone (469) 708-3989.

Contact Information

Primary practice address
2600 E Southlake Blvd Ste 120-177 Southlake TX 76092-6634
Phone: (469) 708-3989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA11021 Texas

Profile Details

NPI number 1275724981
LBN Legal business name Purnama, Paulina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Jul 21st, 2022 - about 4 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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