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Individual

PAUL E TULLAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9650
(806) 354-5730
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9650
(806) 354-5730

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E8985
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035341902
TX
05
035341903
TX
05
17484863
NM
05
200123090 A
OK
01
P00466308
MEDICARE RAILROAD
TX
Enumeration date
02/02/2006
Last updated
11/03/2017
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