Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | H5177 | TX |
NPI | 1013029974 |
---|---|
Provider Name | Dr. Truett Anderson Hull |
First Address | Brownwood, TX 76801-5900 |
Second Address | Brownwood, TX 76801-5900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 25/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0094GS | BCBS (01) | |
110866 | SUPERIOR (01) | TX |
3277604 | BLUE LINK (01) | |
86159 | AMERIGROUP (01) | |
8B8062 | BCBS (01) | |
E77604 | (02) |