Active NPI
Edwin Fred Tulloch, PHD LPC LMFT
- Marriage & Family Therapist
- Duncanville, TX
National Provider Identifier
1376624791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 773
- Practice address
- 543 E Freeman
Duncanville, TX 75116 - Phone
- (972) 617-0242
- Fax
- (254) 637-2727
- NPI assigned
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9172 | TX | |
| Marriage & Family Therapist | 106H00000X | 773 | TX | Primary |
Addresses
Primary practice location
543 E Freeman
Duncanville, TX 75116
Mailing address
3908 Danzig Dr
Grand Prairie, TX 75052
Phone (972) 617-0242
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376624791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 DANZIG DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "972-617-0242",
"fax_number": "254-687-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 E FREEMAN",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "75116",
"telephone_number": "972-617-0242",
"fax_number": "254-637-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLOCH",
"first_name": "EDWIN",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "PHD LPC LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9172",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.