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NPI Code Detail

MEDICARE: ANDREW ROBERT TULLMAN PA

MEDICARE: ANDREW ROBERT TULLMAN PA
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
1363AM0700XMedical Physician AssistantPA09041TX

General Provider Information

NPI Number : 1649553850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ROBERT TULLMAN PA
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-896-2625
Provider Business Practice Location Address
First Line : 723 HILL COUNTRY DR STE C
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6043
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-896-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 05/28/2026

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