Provider Demographics
NPI:1447263611
Name:FREUDIGMAN, PAUL T JR (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:T
Last Name:FREUDIGMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2360 N IH 35 E STE 320
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5336
Mailing Address - Country:US
Mailing Address - Phone:469-800-9790
Mailing Address - Fax:469-800-9799
Practice Address - Street 1:2360 N IH 35 E STE 320
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5336
Practice Address - Country:US
Practice Address - Phone:469-800-9790
Practice Address - Fax:469-800-9799
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5940207XX0801X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149830501Medicaid
TX149830501Medicaid
TX8864N1Medicare PIN