Active NPI
Paul W Marullo, D.C.
- Chiropractor
- Pasadena, TX
National Provider Identifier
1093767402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6718
- Practice address
- 3009 Strawberry Rd
Suite B
Pasadena, TX 77502-5216 - Phone
- (713) 941-2110
- Fax
- (713) 941-2125
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6718 | TX | Primary |
Addresses
Primary practice location
3009 Strawberry Rd
Suite B
Pasadena, TX 77502-5216
Mailing address
3009 Strawberry Rd
Suite B
Pasadena, TX 77502-5216
Phone (713) 941-2110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 885392 | Other | TX | COVENTRY & FIRST HEALTH |
| 8J5005 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Physical Therapy & Rehab | Past | Accepting new patients | |
| Texas Alliance Medical Group, PA | Past | Accepting new patients | |
| Pace Chiropractic & Physical Therapy Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pasadena Chiropractic & Rehab
- Occupational Health Chiropractor
- Pasadena, TX
- NPI 1619342995
-
dba Doctors Clinic Houston
- Family Medicine Physician
- Houston, TX
- NPI 1861446304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1093767402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 STRAWBERRY RD",
"address_2": "SUITE B",
"city": "PASADENA",
"state": "TX",
"postal_code": "775025216",
"telephone_number": "713-941-2110",
"fax_number": "713-941-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 STRAWBERRY RD",
"address_2": "SUITE B",
"city": "PASADENA",
"state": "TX",
"postal_code": "775025216",
"telephone_number": "713-941-2110",
"fax_number": "713-941-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARULLO",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY & FIRST HEALTH",
"identifier": "885392",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8J5005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.