Southern, Paul M
Southern, Paul M is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Medical Microbiology. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Southern, Paul M can be contacted via phone (214) 648-1620.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 648-1620
Fax: (214) 648-4080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C7780 | Texas |
| Allopathic & Osteopathic Physicians / Medical Microbiology | 207ZM0300X | C7780 | Texas |
Profile Details
| NPI number | 1326000142 |
|---|---|
| LBN Legal business name | Southern, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Dec 18th, 2007 - about 17 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 | 1326000142 | NPPES |
| Texas | MEDICAID | 125187802 |
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