Individual
LAWRENCE NICHOLAS MASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36065 SANTA FE AVE BLDG 36065, FORT HOOD, TX 76544-5060
(254) 553-1364
(800) 516-3152
Mailing address
36065 SANTA FE AVE BLDG 36065, FORT HOOD, TX 76544-5060
(254) 553-1364
(800) 516-3152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3014
TX
Other
Enumeration date
05/23/2006
Last updated
08/07/2023
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