Provider Demographics
NPI:1760574115
Name:LANSDOWNE, PAUL ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALLEN
Last Name:LANSDOWNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 STEEPLE CHASE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-4746
Mailing Address - Country:US
Mailing Address - Phone:972-938-3493
Mailing Address - Fax:972-937-5608
Practice Address - Street 1:1505 WEST JEFFERSON
Practice Address - Street 2:SUITE 120
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-938-3493
Practice Address - Fax:972-937-5608
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145225202Medicaid
TX00229ZOtherMEDICARE GROUP
TXH27645Medicare UPIN
TX8F0745Medicare ID - Type Unspecified