person
Paulina Purnama, PA-C
Surgical Physician Assistant in Southlake, Texas
NPI 1275724981

Paulina Purnama is a Surgical Physician Assistant based in Southlake, TX and is specialized in Surgical. Paulina Purnama practices in Southlake, TX and has the professional credentials of PA-C. The NPI Number for Paulina Purnama is 1275724981 and holds a License No. PA11021 (Texas).

The current practice location address for Paulina Purnama is 2600 E Southlake Blvd Ste 120-177, Southlake, TX and can be reached out via phone at 469-708-3989.

Location: 2600 E Southlake Blvd Ste 120-177, Southlake, TX, 76092-6634
person
Provider Profile Details
NPI Number
1275724981
Provider Name
Paulina Purnama
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2600 E Southlake Blvd Ste 120-177, Southlake, TX, 76092-6634
Phone Number
469-708-3989
Fax Number
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 E Southlake Blvd Ste 120-177
City
State
Zip
76092-6634
Phone Number
469-708-3989
Fax Number
person
Provider Business Mailing Address Details
Address
2600 E Southlake Blvd Ste 120-177
City
State
Zip
76092-6634
Phone Number
469-708-3989
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA11021 (Texas)
Definition
Definition to come...
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