Provider Demographics
NPI:1942385091
Name:TRAUTMANN, PAUL A (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:TRAUTMANN
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 1:3066 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-1013
Mailing Address - Country:US
Mailing Address - Phone:210-233-7063
Mailing Address - Fax:210-228-0065
Practice Address - Street 1:2020 BABCOCK RD
Practice Address - Street 2:SUITE 12
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4443
Practice Address - Country:US
Practice Address - Phone:210-616-0313
Practice Address - Fax:210-616-0314
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5702207V00000X
WAMD61508942207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032808001Medicaid
TX032808001Medicaid
TX00DP90Medicare PIN