Provider Demographics
NPI:1154867349
Name:BELLEZZA, PAULINA (PA-C)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:BELLEZZA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COMMUNICATIONS PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7882
Mailing Address - Country:US
Mailing Address - Phone:972-265-4190
Mailing Address - Fax:972-265-4189
Practice Address - Street 1:5800 COMMUNICATIONS PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7882
Practice Address - Country:US
Practice Address - Phone:972-265-4190
Practice Address - Fax:972-265-4189
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109952363A00000X
TXPA13266363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant