Individual
MR. SAMUEL ALEXANDER TYULUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 475, DALLAS, TX 75231-0806
(214) 368-3755
(214) 368-3758
Mailing address
9301 N CENTRAL EXPY, SUITE 475, DALLAS, TX 75231-0806
(214) 368-3755
(214) 368-3758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122815701
—
TX
01
—
88414Z
BLUE CROSS/BLUE SHIELD
TX
01
—
H2855
STATE LICENSE
TX
Enumeration date
05/15/2006
Last updated
06/29/2011
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