ARCHER K.TULLIDGE MD PA
NPI 1841334414
Clinic/Center - Adult Mental Health in Tomball, TX

Active since February 16, 2007
402 FLORENCE ST, TOMBALL, TX 77375(281) 290-8730(281) 255-8473 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Archer K.tullidge Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCHER K.TULLIDGE MD PA (NPI 1841334414) is a healthcare organization registered as an adult mental health in Tomball, Texas and active in the NPI registry since February 2007. The organization lists Archer K Tullidge, Owner, as its authorized official.

NPPES Registry Identity

NPI1841334414
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameARCHER K.TULLIDGE MD PA
Location Address402 FLORENCE STTomball, TX 77375-4622
Mailing Address402 Florence StTomball, TX 77375-4622 · (281) 290-8730 · Fax (281) 255-8473
Fax(281) 255-8473
Organization SubpartNo
Authorized OfficialArcher K TullidgeOwner · (281) 290-8730
Enumeration DateFebruary 16, 2007
Last NPPES UpdateDecember 10, 2007
✔ NPI 1841334414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in TX · K1944
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
402 FLORENCE ST, Tomball, TX 77375

Other Identifiers 2

Medicare PIN00116VTX
Medicare UPINF05428TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archer K.tullidge Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Archer K.Tullidge MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1043361926
402 FLORENCE ST
Tomball, TX 77375
(281) 290-8730
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archer K.Tullidge MD PA's NPI number?

The NPI number for Archer K.Tullidge MD PA is 1841334414. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Archer K.Tullidge MD PA located?

Archer K.Tullidge MD PA is located at 402 Florence St, Tomball, TX 77375. The listed phone number is (281) 290-8730.

What is Archer K.Tullidge MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Archer K.Tullidge MD PA enrolled in Medicare?

Yes. Archer K.Tullidge MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Archer K.Tullidge MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Archer K.Tullidge MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Archer K.Tullidge MD PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Archer K.Tullidge MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Archer K.Tullidge MD PA was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.