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NPI Code Detail

MEDICARE: CURTIS W. CUTRELL M.D.

MEDICARE: CURTIS W. CUTRELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianF1489TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568465433
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS W. CUTRELL M.D.
Provider Business Mailing Address
First Line : PO BOX 1367
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75483-1367
Country : US
Telephone Number : 903-885-3181
Fax Number : 903-885-1329
Provider Business Practice Location Address
First Line : 105 MEDICAL PLZ
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2136
Country : US
Telephone Number : 903-885-3181
Fax Number : 903-885-1329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/04/2013

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