Provider Demographics
NPI:1720611387
Name:FREE, PAULA
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:FREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 BAMMEL LN APT 811
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1146
Mailing Address - Country:US
Mailing Address - Phone:424-343-3477
Mailing Address - Fax:
Practice Address - Street 1:2828 BAMMEL LN APT 811
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1146
Practice Address - Country:US
Practice Address - Phone:424-343-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator