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General NPI Number Information
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NPI Number | 1649483900
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Entity Type | Organization
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Legal Business Name | NEUROLOGIC & SPINE INSTITUTE OF N.TX., PA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 300 N HIGHLAND AVE SUITE 315
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City | SHERMAN
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State | TX
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Zip | 75092-7388
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Country | US
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Telephone | 903-893-5177
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Fax | 903-813-0210
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Provider Business Mailing Address
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Address Line | PO BOX 2432
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City | SHERMAN
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State | TX
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Zip | 75091-2432
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Country | US
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Telephone | 903-893-5177
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Fax | 903-813-0210
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN H PULLIAM JR.
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Credential | M.D.
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Telephone | 903-893-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | K4507
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 257405
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7071
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | H0737
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | H6527
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1152290
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License Number State | TX
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