IndividualActive
Amy Tullos, CST/CFA, LSA
NPI 1154573624 · Surgical Assistant · Granbury, TX
Provider details
- NPI number
- 1154573624
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST/CFA, LSA
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA00052 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4601 Dresden Dr
Granbury, TX 76049-5048
Phone: (817) 578-0891
Approximate (ZIP-level) locationGet directions
Mailing address
4601 Dresden Dr
Granbury, TX 76049-5048
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.