Provider Demographics
NPI:1770985830
Name:HULET, TODD PATRICK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:PATRICK
Last Name:HULET
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6118 E LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2028
Mailing Address - Country:US
Mailing Address - Phone:214-336-5465
Mailing Address - Fax:214-692-5281
Practice Address - Street 1:6118 E LOVERS LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2028
Practice Address - Country:US
Practice Address - Phone:214-336-5465
Practice Address - Fax:214-692-5281
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-20
Last Update Date:2014-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15528922OtherDRIVERS LICENSE