Individual
DR. ALEJANDRO PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 SOUTH 1ST STREET, OLIN TEAGUE VA MEDICAL CENTER, TEMPLE, TX 76504
(254) 743-0359
Mailing address
1901 S 1ST ST, OLIN TEAGUE VA MEDICAL CENTER, TEMPLE, TX 76504-7451
(254) 743-0359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01065961A
IN
207Q00000X
Family Medicine Physician
Primary
036108144
IL
207QA0505X
Adult Medicine Physician
036108144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000615203
ANTHEM BCBS
IN
05
—
036108144
—
IL
05
—
200922910
—
IN
01
—
336072282
CONTROL SUBSTANCE
IL
Enumeration date
07/28/2006
Last updated
10/05/2009
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