Healthcare Provider Details

I. General information

NPI: 1811037286
Provider Name (Legal Business Name): PAULGUN SULUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 11/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PARK BEND DR BUILDING 2, SUITE 300
AUSTIN TX
78758-5387
US

IV. Provider business mailing address

400 N SAINT PAUL ST
DALLAS TX
75201-3114
US

V. Phone/Fax

Practice location:
  • Phone: 512-836-5665
  • Fax: 512-997-9092
Mailing address:
  • Phone: 512-836-5665
  • Fax: 512-997-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM5528
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberM5528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: