Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | P2845 | TX |
Y | 207RC0200X | Critical Care Medicine | P2845 | TX |
NPI | 1043389653 |
---|---|
Provider Name | Dr. Patrick Cullinan |
First Address | San Antonio, TX 78229-4402 |
Second Address | San Antonio, TX 78229-4402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 22/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
307403102 | (05) | TX |
307403121 | (05) | TX |
307403122 | CSHCN (01) | TX |
P01280063 | MEDICARE RAILROAD (01) | TX |