Tullos, Bobby W

Tullos, Bobby W is an sole proprietor health care provider with primary practice located at 1340 Broad Ave Ste 410 , Gulfport MS 39501-2459. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tullos, Bobby W can be contacted via phone (228) 575-1775.

Contact Information

Primary practice address
1340 Broad Ave Ste 410 Gulfport MS 39501-2459
Fax: (228) 575-1770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23030 Mississippi
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 23030 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23030 Mississippi

Profile Details

NPI number 1841554250
LBN Legal business name Tullos, Bobby W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Aug 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841554250 NPPES
Mississippi Other 23030 STATE MEDICAL LICENSE

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