Healthcare Provider Details

I. General information

NPI: 1477955565
Provider Name (Legal Business Name): JOHN H PULLIAM MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 09/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E EVERGREEN ST
SHERMAN TX
75090-5056
US

IV. Provider business mailing address

200 E EVERGREEN ST
SHERMAN TX
75090-5056
US

V. Phone/Fax

Practice location:
  • Phone: 903-957-3230
  • Fax: 903-893-5720
Mailing address:
  • Phone: 903-957-3230
  • Fax: 903-893-5720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN HUGHES PULLIAM JR.
Title or Position: OWNER
Credential: MD
Phone: 903-957-3230