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Individual

DR. THOMAS GERARD TULLIUS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 544-1200
Mailing address
PO BOX 202479, DALLAS, TX 75320-2479

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD2019-0225
NM
2085R0202X
Diagnostic Radiology Physician
R9303
TX
2085R0204X
Vascular & Interventional Radiology Physician
MD2019-0225
NM
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R9303
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52074366
NM
Enumeration date
03/25/2013
Last updated
12/06/2023
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