PAULINA PURNAMA

FORT WORTH, TX
NPI1275724981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA11021)
Enumeration Date2007-08-07
Last Update Date2025-05-03
Business Address
PAULINA PURNAMA PA-C
800 12TH AVE STE 200
FORT WORTH, TX 76104-2519
Phone number: 214-631-9881
Mailing Address
PAULINA PURNAMA PA-C
800 12TH AVE STE 200
FORT WORTH, TX 76104-2519
Phone number: 214-631-9881