Organization Active NPI

Martin Kulig MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Angelo, TX
National Provider Identifier
1245299791
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MARTIN KULIG MD
Practice address
3501 Knickerbocker Road
Department of Pathology
San Angelo, TX 76904
Phone
(325) 947-6440
Fax
(325) 947-6289
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Martin Joseph Kulig, MD PHD
Title
President
Phone
(325) 947-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

3501 Knickerbocker Road
Department of Pathology
San Angelo, TX 76904

Mailing address

2502 Southland Boulevard
San Angelo, TX 76904
Phone (325) 947-6440

National Provider Directory

National Provider Directory

Locations

2502 Southland Blvd
San Angelo, TX 76904

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1245299791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 SOUTHLAND BOULEVARD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-6440",
            "fax_number": "325-947-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER ROAD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-6440",
            "fax_number": "325-947-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN KULIG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "KULIG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-947-6440",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.