| Doctor Name: | KANDACE MARIE BULLAJIAN |
| NPI Number: | 1033306303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, FNP-BC |
| License Number: | 720770 |
| Business Practice Address: | 2201 Macarthur Dr Ste 2205 Waco, TX - 767083159 |
| Business Phone Number: | 2542026500 |
| Business Fax Number: | 2542026510 |
| Mailing Address: | 2201 Macarthur Dr Ste 2205, WACO |
| State: | TX |
| Postal Code: | 767083159 |
| Phone Number: | 2542026500 |
| Fax Number: | 2542026510 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 720770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |