Provider Demographics
NPI:1396175303
Name:MCCOMB, PAULA (OTR)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:MCCOMB
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N AMBURN RD
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2488
Mailing Address - Country:US
Mailing Address - Phone:409-935-6620
Mailing Address - Fax:
Practice Address - Street 1:1901 N AMBURN RD
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2488
Practice Address - Country:US
Practice Address - Phone:409-935-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109794225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist