Provider Demographics
NPI:1871505024
Name:PARO PHYSICIAN SERVICES INC.
Entity Type:Organization
Organization Name:PARO PHYSICIAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-605-0373
Mailing Address - Street 1:908 N CROCKETT AVE
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:TX
Mailing Address - Zip Code:76520-2560
Mailing Address - Country:US
Mailing Address - Phone:254-605-0373
Mailing Address - Fax:254-697-3745
Practice Address - Street 1:908 N CROCKETT AVE
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:TX
Practice Address - Zip Code:76520-2560
Practice Address - Country:US
Practice Address - Phone:254-697-2195
Practice Address - Fax:254-697-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168148801TMedicaid
TXG95069Medicare UPIN
TX168148801TMedicaid