Kulm Medical PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

E7114 Issued in TX

Legal business name

KULM MEDICAL PA

Doing business as

Liberty Healthcare

Practice address

4301 Saturn Rd
Suite 201
Garland, TX 75041-5323

Phone

(214) 275-7200

Fax

(214) 703-3354

NPI assigned

Jun 10, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Heaver, DO

Title

Medical Director

Phone

(214) 275-7200

Specialties & licenses 5

Addresses

Other names 1

• Liberty Healthcare Doing business as

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1588824817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SATURN RD",
            "address_2": "SUITE 201",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415323",
            "telephone_number": "214-275-7200",
            "fax_number": "214-703-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SATURN RD",
            "address_2": "SUITE 201",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415323",
            "telephone_number": "214-275-7200",
            "fax_number": "214-703-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULM MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HEAVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-275-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2503",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10858",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4175",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "E7114",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H2662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva Simmons Kuebler, L.M.T.
• Leslie Beth Kuerbitz, M.A., L.P.C.
• Jonathan Andrew Kuipers, D.D.S.
• Dana Lynn Kukorola
• Suresh Kukreja, MD
• Sheba Titus Kunnel, PTA
• Kee Un Kwak, D.D.S.
• Yuen Jong Kwan, M.D.
• Catharine Kwon, DDS
• NA-Young Kwon, PHARM.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Garland, TX
• Providers in Garland, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.