Provider Demographics
NPI:1932100302
Name:REDMAN, PAUL C II (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:REDMAN
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 1:4301 GARTH RD STE 311
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3159
Mailing Address - Country:US
Mailing Address - Phone:281-420-5760
Mailing Address - Fax:281-420-0333
Practice Address - Street 1:4301 GARTH RD STE 311
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3159
Practice Address - Country:US
Practice Address - Phone:281-420-5760
Practice Address - Fax:281-420-0333
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180197901Medicaid
TX8GG958OtherBCBS
TX0094NAOtherBCBS
TX203651109OtherTAX ID
TX180198705Medicaid
TX203651109OtherTAX ID
H53846Medicare UPIN
TX0094NAOtherBCBS