Provider Demographics
NPI:1356329825
Name:PAPPAS, PAUL H (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:HENRY
Other - Last Name:PAPPAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3201 UNIVERSITY DR E STE 340
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3484
Mailing Address - Country:US
Mailing Address - Phone:979-690-4808
Mailing Address - Fax:979-690-4809
Practice Address - Street 1:3201 UNIVERSITY DR E STE 340
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3484
Practice Address - Country:US
Practice Address - Phone:979-690-4808
Practice Address - Fax:979-690-4809
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036144400207Q00000X
IAMD-44720207Q00000X
ARE-1885207Q00000X
WI68189-20207Q00000X
MN63056207Q00000X
TXL0484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0421521003Medicaid
TXP00155077OtherRAILROAD MEDICARE
AR5K929OtherBLUE CROSS BLUE SHIELD
AR135873001Medicaid
TX8M5291OtherBLUE CROSS BLUE SHIELD
TX8M5291OtherBLUE CROSS BLUE SHIELD
TXP00155077OtherRAILROAD MEDICARE