PAULINA PURNAMA

SOUTHLAKE, TX
NPI1275724981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA11021)
Enumeration Date2007-08-07
Last Update Date2022-07-21
Business Address
-- PAULINA PURNAMA PA-C
2600 E SOUTHLAKE BLVD STE 120-177
SOUTHLAKE, TX 76092-6634
Phone number: 469-708-3989
Mailing Address
-- PAULINA PURNAMA PA-C
2600 E SOUTHLAKE BLVD STE 120-177
SOUTHLAKE, TX 76092-6634
Phone number: 469-708-3989