Provider Demographics
NPI:1932581964
Name:PALURI, EMMANUEL (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:
Last Name:PALURI
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9964 ASH CREEK CT
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-1989
Mailing Address - Country:US
Mailing Address - Phone:281-220-7114
Mailing Address - Fax:
Practice Address - Street 1:9964 ASH CREEK CT
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-1989
Practice Address - Country:US
Practice Address - Phone:281-220-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783662163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse