Provider Demographics
NPI:1780181172
Name:TRULIFE MEDICAL, PLLC
Entity Type:Organization
Organization Name:TRULIFE MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:JAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-551-0445
Mailing Address - Street 1:11803 SOUTH FWY STE 360
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7012
Mailing Address - Country:US
Mailing Address - Phone:817-551-0445
Mailing Address - Fax:
Practice Address - Street 1:11803 SOUTH FWY STE 360
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7012
Practice Address - Country:US
Practice Address - Phone:817-551-0445
Practice Address - Fax:817-551-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty