Provider Demographics
NPI:1043493893
Name:JOHN G PAPAILA MD PA
Entity Type:Organization
Organization Name:JOHN G PAPAILA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOFTLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-893-4244
Mailing Address - Street 1:1419 N TRAVIS
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3757
Mailing Address - Country:US
Mailing Address - Phone:903-893-4244
Mailing Address - Fax:
Practice Address - Street 1:1419 N TRAVIS
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3757
Practice Address - Country:US
Practice Address - Phone:903-893-4244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0624174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00440TMedicare PIN