Provider Demographics
NPI:1487668489
Name:ARMSTRONG-PAAP, FAYE GLADYS (MD)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:GLADYS
Last Name:ARMSTRONG-PAAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W 5TH ST
Mailing Address - Street 2:SUITE 470
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5034
Mailing Address - Country:US
Mailing Address - Phone:432-580-0300
Mailing Address - Fax:432-580-0306
Practice Address - Street 1:540 W 5TH ST
Practice Address - Street 2:SUITE 470
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5034
Practice Address - Country:US
Practice Address - Phone:432-580-0300
Practice Address - Fax:432-580-0306
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4693208600000X
TXH5218208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200076750AMedicaid
AR771011301Medicaid
AR5N457OtherBLUE CROSS/BLUE SHIELD
AR733616OtherHEALTHLINK
AR159335001Medicaid
AR450521250OtherCHAMPUS/TRICARE
AR6010014400OtherQUALCHOICE
AR8567595OtherCIGNA
TX8F9069Medicare PIN
AR8567595OtherCIGNA
AR733616OtherHEALTHLINK