Healthcare Provider Details

I. General information

NPI: 1801051990
Provider Name (Legal Business Name): WILLIAM J TULEY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PROFESSIONAL BLVD.
EVANSVILLE IN
47714-8002
US

IV. Provider business mailing address

1200 PROFESSIONAL BLVD.
EVANSVILLE IN
47714-8002
US

V. Phone/Fax

Practice location:
  • Phone: 812-479-9500
  • Fax: 812-437-0037
Mailing address:
  • Phone: 812-479-9500
  • Fax: 812-437-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY A PHELPS
Title or Position: BILLING ADMINISTRATOR
Credential: CMC
Phone: 812-479-9500