Provider Demographics
NPI:1841434479
Name:CULP, BRITTNEY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:LEE
Last Name:CULP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRITTNEY
Other - Middle Name:CULP
Other - Last Name:BALOGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 961205
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76161-1205
Mailing Address - Country:US
Mailing Address - Phone:817-740-8400
Mailing Address - Fax:817-378-3699
Practice Address - Street 1:1650 W COLLEGE ST # 54
Practice Address - Street 2:BAYLOR SCOTT & WHITE GRAPEVINE, ATTN TRAUMA SERVICES
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3565
Practice Address - Country:US
Practice Address - Phone:817-388-3600
Practice Address - Fax:817-388-3610
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1122208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery