Individual
MICHAEL ALLEN PULIDO
Active
Individual
MICHAEL ALLEN PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160728506
—
TX
05
—
160728507
—
TX
01
—
8DL604
BCBS
TX
01
—
P01261905
RR MEDICARE
TX
Enumeration date
07/13/2006
Last updated
06/06/2018
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