| Archer K Tullidge | |
|
402 Florence St Tomball TX 77375-4622 | |
| (281) 290-8730 | |
| (281) 255-8473 |
| Full Name | Archer K Tullidge |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 402 Florence St, Tomball, Texas |
| Authorized Official Name and Position | Archer K Tullidge (OWNER) |
| Authorized Official Contact | 2812908730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archer K Tullidge 402 Florence St Tomball TX 77375-4622 Ph: (281) 290-8730 | Archer K Tullidge 402 Florence St Tomball TX 77375-4622 Ph: (281) 290-8730 |
| NPI Number | 1639291354 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639291354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K1944 (Texas) | Primary |
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