Provider Demographics
NPI:1528158656
Name:PLUMMER, PAULA (MD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12606 W HOUSTON CENTER BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2784
Mailing Address - Country:US
Mailing Address - Phone:281-870-8200
Mailing Address - Fax:281-870-8231
Practice Address - Street 1:12606 W HOUSTON CENTER BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2784
Practice Address - Country:US
Practice Address - Phone:281-870-8200
Practice Address - Fax:281-870-8231
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00377XMedicare ID - Type Unspecified
TXB25554Medicare UPIN