David Tull Jr., Recovery Assistant
Case Manager/Care Coordinator in Conway, AR. Individual provider (NPI-1).
NPI number1154786291
StatusActive
Last updated in NPPESDec 16, 2015
Details
- NPI
- 1154786291
- Entity type
- Individual (NPI-1)
- Name
- David Tull Jr.
- Credential
- Recovery Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2015
- Last updated
- Dec 16, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AR | Yes |
Practice location
132 Lower Ridge RdConway, AR 72032-8518
Phone 501-548-9905
Mailing address
Po Box 1589Benton, AR 72018-1589
Phone 501-315-3344
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 524 Case Manager/Care Coordinator providers in Conway · All 3,490 providers in Conway
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