Provider Demographics
NPI:1144303132
Name:PAUL SCHORR DO PA
Entity type:Organization
Organization Name:PAUL SCHORR DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHORR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-216-4900
Mailing Address - Street 1:901 N GALLOWAY AVE
Mailing Address - Street 2:STE. 149
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2493
Mailing Address - Country:US
Mailing Address - Phone:972-216-4900
Mailing Address - Fax:972-216-4903
Practice Address - Street 1:901 N GALLOWAY AVE
Practice Address - Street 2:STE. 149
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2493
Practice Address - Country:US
Practice Address - Phone:972-216-4900
Practice Address - Fax:972-216-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5927261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26272Medicare UPIN
TX00X202Medicare PIN