Provider Demographics
NPI:1619561396
Name:KUMAR, PAULA GARY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:GARY
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15516 BOOKER TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1601
Mailing Address - Country:US
Mailing Address - Phone:337-349-8108
Mailing Address - Fax:
Practice Address - Street 1:15516 BOOKER TRL
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-1601
Practice Address - Country:US
Practice Address - Phone:337-349-8108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily