Active NPI
Martin Kulig MD
- Anatomic Pathology & Clinical Pathology Physician
- San Angelo, TX
National Provider Identifier
1245299791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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 DirectoryLocations
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.