Individual
CARMEN PURL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 E. 4TH, SUNRAY, TX 79086
(806) 948-1459
Mailing address
PO BOX 97, SUNRAY, TX 79086-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HO730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067KC
BLUE CROSS BLUE SHIELD
TX
01
—
100809100
FIRST CARE
TX
05
—
131132607
—
TX
Enumeration date
07/28/2005
Last updated
07/12/2007
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