Provider Demographics
NPI:1902904139
Name:WEEKS, PAULA B (MA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:B
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:G
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2203 SUMMERBREEZE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3271
Mailing Address - Country:US
Mailing Address - Phone:956-585-1890
Mailing Address - Fax:956-585-1890
Practice Address - Street 1:3000 DAFFODIL
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-971-4400
Practice Address - Fax:956-971-4482
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17734235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
741588186-810652701OtherTAX ID
8T2328-8T3989OtherBCBS