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Individual

JESSICA MCCALLISTER TULLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24078
MS
207Q00000X
Family Medicine Physician
24078
MS
207QB0002X
Obesity Medicine (Family Medicine) Physician
R6698
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
24078
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0803724
MS
Enumeration date
07/23/2014
Last updated
03/26/2026
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