Provider Demographics
NPI:1174905749
Name:FEDORA E PAULET PLLC
Entity type:Organization
Organization Name:FEDORA E PAULET PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-464-8600
Mailing Address - Street 1:702 E EXPRESSWAY 83
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2741
Mailing Address - Country:US
Mailing Address - Phone:956-464-8600
Mailing Address - Fax:956-464-8601
Practice Address - Street 1:702 E EXPRESSWAY 83
Practice Address - Street 2:SUITE A-3
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2741
Practice Address - Country:US
Practice Address - Phone:956-464-8600
Practice Address - Fax:956-464-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty