Individual
ANNA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2609 BLAKE ST, AUSTIN, TX 78748-3950
(512) 923-1509
Mailing address
6401 LLANO STAGE TRL, AUSTIN, TX 78738-6199
(512) 923-1509
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP126653
TX
Other
Enumeration date
06/04/2014
Last updated
05/17/2021
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