Provider Demographics
NPI:1700848850
Name:PAULK, JOANNE CARPENTER (DO)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:CARPENTER
Last Name:PAULK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2435
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430-8020
Mailing Address - Country:US
Mailing Address - Phone:325-762-2447
Mailing Address - Fax:325-762-2186
Practice Address - Street 1:301 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSS PLAINS
Practice Address - State:TX
Practice Address - Zip Code:76443-2581
Practice Address - Country:US
Practice Address - Phone:254-725-4311
Practice Address - Fax:254-725-4313
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine