Individual
ANDREW LULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 215-5862
Mailing address
15511 CONIFER BAY CT, HOUSTON, TX 77059-3187
(832) 526-3083
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10050877
TX
Other
Enumeration date
05/29/2014
Last updated
06/20/2016
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