Organization Active NPI

Fedora E Paulet PLLC

Doing business as Fedora E Paulet, MD

  • Internal Medicine Physician
  • Donna, TX
National Provider Identifier
1174905749
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FEDORA E PAULET PLLC
Doing business as
Fedora E Paulet, MD
Practice address
702 E Expressway 83
Suite a-3
Donna, TX 78537-2741
Phone
(956) 464-8600
Fax
(956) 464-8601
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sylvia Huerta
Title
Office Manager
Phone
(956) 464-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

702 E Expressway 83
Suite a-3
Donna, TX 78537-2741

Mailing address

702 E Expressway 83
Suite a-3
Donna, TX 78537-2741
Phone (956) 464-8600

Other names 1

  • Fedora E Paulet, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217001807 TX Part B Supplier - Clinic/Group Practice 7618272311 Receives reassigned benefits from 1 practitioner
Practice locations: Donna, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2140696Fedora E Paulet, PLLC702 E Expressway 83, Suite a-5, Donna, TX 78537Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1174905749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E EXPRESSWAY 83",
            "address_2": "SUITE A-3",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372741",
            "telephone_number": "956-464-8600",
            "fax_number": "956-464-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E EXPRESSWAY 83",
            "address_2": "SUITE A-3",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372741",
            "telephone_number": "956-464-8600",
            "fax_number": "956-464-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDORA E PAULET PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-464-8600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fedora E Paulet, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Donna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.