MEDICARE: DR. THOMAS PAUL PULLANO 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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	G9787	TX
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	G9787	TX

General Provider Information

NPI Number	:	1881659860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS PAUL PULLANO M.D.

Provider Business Mailing Address
First Line	:	12655 N CENTRAL EXPY
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75243-1700
Country	:	US
Telephone Number	:	972-788-1858
Fax Number	:	972-788-2798

Provider Business Practice Location Address
First Line	:	12655 N CENTRAL EXPY
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75243-1700
Country	:	US
Telephone Number	:	972-788-1858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	07/12/2007

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