Doctor Name: | DR. BRIAN ANTHONY BULLITT |
NPI Number: | 1649279738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 8602 |
Business Practice Address: | 7151 Preston Rd Suite 111a Frisco, TX - 750345822 |
Business Phone Number: | 2143874321 |
Business Fax Number: | 2143874320 |
Mailing Address: | 7151 Preston Rd, Suite 111a FRISCO |
State: | TX |
Postal Code: | 750345822 |
Phone Number: | 2143874321 |
Fax Number: | 2143874320 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/20/2006 |
NPI Reactivation Date: | 03/24/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 8602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |