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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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