Provider Demographics
NPI:1144209248
Name:FLEENOR, PAUL WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WILLIAM
Last Name:FLEENOR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Mailing Address - Street 2:18511 HIGHLANDER MEDICS ST.
Mailing Address - City:FORT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79918
Mailing Address - Country:US
Mailing Address - Phone:915-742-2322
Mailing Address - Fax:915-742-2706
Practice Address - Street 1:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Practice Address - Street 2:18511 HIGHLANDER MEDICS ST.
Practice Address - City:FORT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79918
Practice Address - Country:US
Practice Address - Phone:915-742-2322
Practice Address - Fax:915-742-2706
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-08-29
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Provider Licenses
StateLicense IDTaxonomies
IDO-0882208000000X, 2084N0402X
CA20A77012084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics