Provider Demographics
NPI:1497237028
Name:PALEOLOGO, FRED P (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:P
Last Name:PALEOLOGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32631 RYDER CUP
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6862
Mailing Address - Country:US
Mailing Address - Phone:281-252-5060
Mailing Address - Fax:
Practice Address - Street 1:32631 RYDER CUP
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6862
Practice Address - Country:US
Practice Address - Phone:281-252-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8790207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease