person
Tony Paul, PA
Medical Physician Assistant in Mansfield, Louisiana
NPI 1669659363

Tony Paul is a Medical Physician Assistant based in Mansfield, LA and is specialized in Medical. Tony Paul practices in Mansfield, LA and has the professional credentials of PA. The NPI Number for Tony Paul is 1669659363 and holds a License No. PA.200164 (Louisiana).

The current practice location address for Tony Paul is 130 Jefferson St, Mansfield, LA and can be reached out via phone at 318-872-2700 and via fax at 318-872-6214.

Location: 130 Jefferson St, Mansfield, LA, 71052-2602
person
Provider Profile Details
NPI Number
1669659363
Provider Name
Tony Paul
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
130 Jefferson St, Mansfield, LA, 71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
Provider Enumeration Date
01/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1365149 05 LA
institution
Provider Business Practice Location Address Details
Address
130 Jefferson St
City
State
Zip
71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
person
Provider Business Mailing Address Details
Address
130 Jefferson St
City
State
Zip
71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.200164 (Louisiana)
Definition
Definition to come...
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