ENRICO PAEZ

JBSA LACKLAND, TX
NPI1487672499
Professional NameENRICO PAEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04826)
Enumeration Date2006-07-17
Last Update Date2021-05-19
Business Address
ENRICO PAEZ PA-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-5460
Mailing Address
ENRICO PAEZ PA-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-5460