Provider Demographics
NPI:1710920707
Name:SCHORR, PAUL PORTER (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:PORTER
Last Name:SCHORR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1324 N GALLOWAY AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2440
Mailing Address - Country:US
Mailing Address - Phone:972-216-4900
Mailing Address - Fax:972-216-4903
Practice Address - Street 1:1324 N GALLOWAY AVE
Practice Address - Street 2:STE 105
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2440
Practice Address - Country:US
Practice Address - Phone:972-216-4900
Practice Address - Fax:972-216-4903
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5927204D00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26272Medicare UPIN
TX8F4284Medicare PIN