Provider Demographics
NPI:1366483414
Name:PACE, PAUL D (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:PACE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 CONCORD PLAZA DR
Mailing Address - Street 2:300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6905
Mailing Address - Country:US
Mailing Address - Phone:210-593-1440
Mailing Address - Fax:210-593-1447
Practice Address - Street 1:400 CONCORD PLAZA DR
Practice Address - Street 2:300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6905
Practice Address - Country:US
Practice Address - Phone:210-593-1440
Practice Address - Fax:210-593-1447
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF60612086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4059402OtherAETNA
TX2853151OtherCIGNA
TX8B8401OtherBCBS
TX8B8401OtherBCBS
TXC20113Medicare UPIN