Provider Demographics
NPI:1053318287
Name:TULEY, BARBARA K (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:K
Last Name:TULEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:KAY
Other - Last Name:TULEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:50 EL RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-6622
Mailing Address - Country:US
Mailing Address - Phone:918-429-6002
Mailing Address - Fax:573-719-3480
Practice Address - Street 1:50 EL RANCHO DR
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-6622
Practice Address - Country:US
Practice Address - Phone:918-429-6002
Practice Address - Fax:573-719-3480
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17220207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200050875Medicaid
731381304OtherTRICARE
731510332OtherCHAMPUS/CHAMPVA
OK100185800AMedicaid
OK110172670OtherRAILROAD MEDICARE
OK110172670OtherRAILROAD MEDICARE