Provider Demographics
NPI:1811145576
Name:HULL, NATALIE MARIE (DO)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:HULL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:HUMPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1800 STATE HIGHWAY 114
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247
Mailing Address - Country:US
Mailing Address - Phone:817-215-0936
Mailing Address - Fax:817-215-0940
Practice Address - Street 1:1800 STATE HIGHWAY 114
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247
Practice Address - Country:US
Practice Address - Phone:817-215-0936
Practice Address - Fax:817-215-0940
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine