Provider Demographics
NPI:1841215076
Name:WESTMORELAND, PAUL A II (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:WESTMORELAND
Suffix:II
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 1:250 N. COLLIN MCKINNEY PARKWAY
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-7111
Mailing Address - Country:US
Mailing Address - Phone:903-482-9153
Mailing Address - Fax:903-482-9514
Practice Address - Street 1:250 N. COLLIN MCKINNEY PARKWAY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495
Practice Address - Country:US
Practice Address - Phone:903-482-9153
Practice Address - Fax:903-482-9514
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117125804Medicaid
TX117125805Medicaid
TX117125805Medicaid
TXG83171Medicare UPIN
TX8D4091Medicare ID - Type Unspecified