Individual
LINDA K KULLAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, PH.D.
Contact information
Practice address
2002 HOLCOMBE BLVD., MICHAEL E. DEBAKEY VETERANS AFFAIRS MEDICAL CENTER, HOUSTON, TX 77030
(713) 791-1414
Mailing address
4922 COTTON RIDGE TRL, HOUSTON, TX 77053-5332
(281) 438-5199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043474
NCCPA PA LICENSE
—
01
—
PA02681
STATE PA LICENSE
TX
Enumeration date
07/20/2006
Last updated
07/08/2007
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