Provider Demographics
NPI:1922483643
Name:TULIPANE, TERRY LEE
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:LEE
Last Name:TULIPANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4787
Mailing Address - Country:US
Mailing Address - Phone:903-814-5145
Mailing Address - Fax:
Practice Address - Street 1:2820 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-4787
Practice Address - Country:US
Practice Address - Phone:903-814-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other