Basic Information
Provider Information
NPI: 1831456904
EntityType: 2
ReplacementNPI:  
OrganizationName: PAUL A TRAUTMANN,M.D.,PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2020 BABCOCK RD STE 12
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294437
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2020 BABCOCK RD STE 12
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294437
CountryCode: US
TelephoneNumber: 2106160313
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2012
LastUpdateDate: 06/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: TRAUTMANN
AuthorizedOfficialFirstName: PAUL
AuthorizedOfficialMiddleName: A.
AuthorizedOfficialTitleorPosition: MD
AuthorizedOfficialTelephone: 2106160313
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XG5702TXY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home