Provider Demographics
NPI:1548470941
Name:AKINS, PAUL D (CST, CFA)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:D
Last Name:AKINS
Suffix:
Gender:M
Credentials:CST, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3629 TEMECULA CREEK TRAIL
Mailing Address - Street 2:
Mailing Address - City:MC KINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:214-543-4819
Mailing Address - Fax:
Practice Address - Street 1:3629 TEMECULA CREEK TRAIL
Practice Address - Street 2:
Practice Address - City:MC KINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:214-543-4819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104085363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical