Provider Demographics
NPI:1497083372
Name:PAJAK, PAUL (PT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:PAJAK
Suffix:
Gender:M
Credentials:PT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3508 FAR WEST BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3080
Mailing Address - Country:US
Mailing Address - Phone:512-832-9411
Mailing Address - Fax:512-832-9401
Practice Address - Street 1:3508 FAR WEST BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3080
Practice Address - Country:US
Practice Address - Phone:512-832-9411
Practice Address - Fax:512-832-9401
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX11744702251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic