Paul Allen Payumo Parmenter
Individual provider Active NPI Radiologic Technologist · Garden Ridge, TX
NPI 1891973897 · NPPES record last updated Feb 1, 2008
Key facts
- NPI
- 1891973897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiologic Technologist 247100000X
- License
- RHF 87711 (CA)
- Practice address
- 18945 FM 2252
Suite 115
Garden Ridge, TX 78266-2562 - Phone
- (210) 651-0027
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHF 87711 | CA | MD | Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHF 87711 | CA | Yes |
Addresses
Primary practice location
18945 FM 2252
Suite 115
Garden Ridge, TX 78266-2562
Mailing address
18945 FM 2252
Suite 115
Garden Ridge, TX 78266-2562
Phone (210) 651-0027
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All providers in Garden Ridge, TX · Radiologic Technologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.