Individual
JEFFREY FIELD TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8573
Mailing address
5110 WATERFORD CT, TEMPLE, TX 76502-7317
(254) 228-5864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
590113
TX
Other
Enumeration date
03/16/2008
Last updated
03/16/2008
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