Provider Demographics
NPI:1508176504
Name:PAULK, ALLISON EMILY (PA)
Entity Type:Individual
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First Name:ALLISON
Middle Name:EMILY
Last Name:PAULK
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Gender:F
Credentials:PA
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Mailing Address - Street 1:8122 DATAPOINT DR
Mailing Address - Street 2:STE 140
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3272
Mailing Address - Country:US
Mailing Address - Phone:210-293-6530
Mailing Address - Fax:210-429-3653
Practice Address - Street 1:2815 N LOOP 1604 E
Practice Address - Street 2:STE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1708
Practice Address - Country:US
Practice Address - Phone:210-495-2117
Practice Address - Fax:210-495-4349
Is Sole Proprietor?:No
Enumeration Date:2010-10-12
Last Update Date:2016-01-26
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Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical