Doctor Name: | MS. CLAUDIA W BULLARD |
NPI Number: | 1205901279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 1132348 |
Business Practice Address: | 1602 E Houston St Suite C Beeville, TX - 781025326 |
Business Phone Number: | 3613589200 |
Business Fax Number: | 3613621671 |
Mailing Address: | Po Box 1233, KINGSVILLE |
State: | TX |
Postal Code: | 783641233 |
Phone Number: | 3613589200 |
Fax Number: | 3613621671 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1132348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |