Provider Demographics
NPI:1164118667
Name:DULA INTERNATIONAL INC
Entity Type:Organization
Organization Name:DULA INTERNATIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-661-8858
Mailing Address - Street 1:1925 E 6TH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:YBOR CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33605-5225
Mailing Address - Country:US
Mailing Address - Phone:614-563-8763
Mailing Address - Fax:
Practice Address - Street 1:1925 E 6TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:YBOR CITY
Practice Address - State:FL
Practice Address - Zip Code:33605-5225
Practice Address - Country:US
Practice Address - Phone:614-563-8763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty