Provider Demographics
NPI:1962419507
Name:SEE, PAULETTE M (MD)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:M
Last Name:SEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:295 FM 156 S
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3011
Practice Address - Country:US
Practice Address - Phone:817-347-8504
Practice Address - Fax:817-439-8686
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9722208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340114301Medicaid
TX368693YMJCMedicare PIN
ILIL3270475Medicare PIN
IL6447860004Medicare NSC