KYLE L GULLY (NPI# 1982678231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982678231 |
| Entity Type | Individual |
| Full Name | KYLE L GULLY |
| Credential | MD |
| Practice Address |
1302 N Pacific St Mineola TX 75773-1022 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035695383 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J4176 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 111823401 | 05 |
| Street Address |
1302 N PACIFIC ST |
| City | MINEOLA |
| State | TX |
| Zip Code | 75773-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477037323 | Amarina Evans O'byrne | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773-1022 | 2018-09-17 |
| 1891167151 | Jamie Johnson | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773 | 2015-10-27 |
| 1689043283 | Jeffrey Bryan Yarbrough | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773-1022 | 2015-09-24 |
| 1285993089 | Roel O Flores Jr. | Family Medicine | 1302 N Pacific St, Mineola, TX 75773-1022 | 2012-05-14 |
| 1275727125 | Christus Trinity Clinic | Clinic/Center | 1302 N Pacific St, Mineola, TX 75773-1022 | 2007-09-04 |
| 1124059589 | Richard A Jameson | Physician Assistant | 1302 N Pacific St, Mineola, TX 75773-1022 | 2006-07-05 |
| 1114992575 | Deborah C Sitton | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773-1022 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368470 | J.l. Miguez, Inc. | Hearing Aid Equipment | 125 W. Broad Street, Mineola, TX 75773 | 2020-02-17 |
| 1063992709 | Revis Pernell | Licensed Vocational Nurse | 497 Cr 2363, Mineola, TX 75773 | 2018-08-21 |
| 1205338258 | Cricket Weber | Registered Nurse | 555 Private Road 6307, Mineola, TX 75773 | 2018-03-06 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| 1083787865 | East Texas Rayon Services, LLC | Durable Medical Equipment & Medical Supplies | 5361 S State High Way 37, Mineola, TX 75773 | 2006-11-17 |
| 1902999113 | Johnny Allen Colegrove | Chiropractor | 1044 N Pacific, Mineola, TX 75773 | 2006-10-02 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1184941320 | Dan Riddle White | Dentist | 1800 South Pacific, Mineola, TX 75773 | 2010-04-28 |
| 1477988558 | Autumn Wind | Assisted Living Facility | 135 Autumn Wind Ct, Mineola, TX 75773-0017 | 2013-09-09 |
| Find all providers in zip 75773 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873077 | Winthrop Community Medical Affiliates PC | Family Medicine | 200 Old Country Rd Ste 310, Mineola, NY 11501-4243 | 2017-07-14 |
| 1659783587 | Maria A Uliano | Family Medicine | 137 Willis Ave Ste 110, Mineola, NY 11501-2670 | 2014-05-27 |
| 1174621692 | Nicole M Esquenet | Family Medicine | 393 Sagamore Ave, Mineola, NY 11501-1919 | 2006-09-20 |
| 1316977820 | Diana Bankhead | Family Medicine | 139 Maxine St, Mineola, TX 75773-1011 | 2006-07-03 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1750326799 | Robert M Elliott | Family Medicine | 415 W Kilpatrick St, Mineola, TX 75773-2032 | 2006-06-16 |
| 1821566969 | 210 Mineola Medical PC | Family Medicine | 210 Old Country Rd, Mineola, NY 11501-4218 | 2018-11-07 |
| 1336648880 | Mary Wolter | Family Medicine | 259 1st St, Mineola, NY 11501-3957 | 2018-02-09 |
| 1982019527 | Jesus Lehi Garcia | Family Medicine | 222 Station Plz N Ste 518, Mineola, NY 11501-3893 | 2014-06-23 |
| 1285993089 | Roel O Flores Jr. | Family Medicine | 1302 N Pacific St, Mineola, TX 75773-1022 | 2012-05-14 |
| Find all providers in MINEOLA | ||||
Please comment or provide details below to improve the information on KYLE L GULLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.