Individual
DR. BRIAN DOUGLAS BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 NORTH LOOP 340, WACO, TX 76705
(254) 202-7500
(254) 202-7599
Mailing address
PO BOX 848476, DALLAS, TX 75284-8476
(254) 202-4655
(254) 202-4697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134452506
—
TX
01
—
80Y496
BCBS
TX
Enumeration date
01/31/2006
Last updated
09/03/2020
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