Provider Demographics
NPI:1235169400
Name:BRIDGES, PAUL DONNELLY (PA)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:DONNELLY
Last Name:BRIDGES
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Gender:M
Credentials:PA
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Mailing Address - Street 1:14493 S PADRE ISLAND DR
Mailing Address - Street 2:A-320
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-5931
Mailing Address - Country:US
Mailing Address - Phone:361-815-8225
Mailing Address - Fax:361-949-0525
Practice Address - Street 1:14493 S PADRE ISLAND DR
Practice Address - Street 2:A-320
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5931
Practice Address - Country:US
Practice Address - Phone:361-815-8225
Practice Address - Fax:361-949-0525
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2013-06-03
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Provider Licenses
StateLicense IDTaxonomies
TXPA01422363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical