Individual
ZOE SHAPLEIGH TULLIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905
(915) 215-5700
(915) 215-8872
Mailing address
440 RAYNOLDS ST, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
036-136951
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R8505
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136951
—
IL
Enumeration date
05/31/2012
Last updated
09/12/2019
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