Provider Demographics
NPI:1013008754
Name:CURRIE, TULLY JENKS (MD)
Entity Type:Individual
Prefix:
First Name:TULLY
Middle Name:JENKS
Last Name:CURRIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 S LIPSCOMB ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3532
Mailing Address - Country:US
Mailing Address - Phone:806-576-6432
Mailing Address - Fax:
Practice Address - Street 1:2818 S LIPSCOMB ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3532
Practice Address - Country:US
Practice Address - Phone:806-576-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK234142085R0202X
TXM86142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare ID - Type Unspecified
OKPENDINGMedicare ID - Type Unspecified