Tully, John
Tully, John is an sole proprietor health care provider with primary practice located at 111 Dallas St Emergency Room, San Antonio TX 78205-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Tully, John can be contacted via phone (210) 614-0180.Contact Information
Primary practice address
111 Dallas St Emergency Room
San Antonio TX 78205-1201
Phone: (210) 614-0180
Fax: (210) 615-7170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | L9524 | Texas |
Profile Details
| NPI number | 1356335772 |
|---|---|
| LBN Legal business name | Tully, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Nov 2nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356335772 | NPPES |
| Texas | MEDICAID | 168435901 | |
| Texas | Other | 8M8132 | |
| Texas | MEDICAID | 168435902 |
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