Tatum, Paul E

Tatum, Paul E is an individual health care provider with primary practice located at 1500 Red River St , Austin TX 78701-1918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Tatum, Paul E can be contacted via phone (512) 324-8933.

Contact Information

Primary practice address
1500 Red River St Austin TX 78701-1918
Phone: (512) 324-8933
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 036160360 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 2022022258 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X R9296 Texas

Profile Details

NPI number 1821079559
LBN Legal business name Tatum, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 16th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821079559 NPPES
Arizona MEDICAID 807026

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