| Paul S. Worrell, D.o., P.a. | |
|
8668 Skillman St Dallas TX 75243-8216 | |
| (214) 349-4909 | |
| (214) 349-4973 |
| Full Name | Paul S. Worrell, D.o., P.a. |
|---|---|
| Speciality | General Practice |
| Location | 8668 Skillman St, Dallas, Texas |
| Authorized Official Name and Position | Freddie Tomblin (OFFICE MANAGER) |
| Authorized Official Contact | 2143494909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul S. Worrell, D.o., P.a. 8668 Skillman Street Dallas TX 75243 Ph: (214) 349-4909 | Paul S. Worrell, D.o., P.a. 8668 Skillman St Dallas TX 75243-8216 Ph: (214) 349-4909 |
| NPI Number | 1093925620 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 04/09/2014 |
| Medicare PECOS PAC ID | 9830310465 |
|---|---|
| Medicare Enrollment ID | O20141024001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093925620 | NPI | - | NPPES |
| SJ05 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | F7329 (Texas) | Primary |
| Provider Name | Paul S Worrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720195779 PECOS PAC ID: 9931188372 Enrollment ID: I20040719000502 |
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