Provider Demographics
NPI:1588641245
Name:UNDERWOOD, PAULA KAY (MD, MPH, MHA)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:KAY
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:MD, MPH, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:902 GEMBLER RD APT 4208
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-2124
Mailing Address - Country:US
Mailing Address - Phone:703-819-5041
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:703-681-3130
Practice Address - Fax:703-681-2950
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00286202083P0901X
CO286202083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine