Individual
PEGGY SUE BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8923 PAR FIVE DR, CRANDALL, TX 75114-4425
(214) 263-4754
Mailing address
511 S 4TH ST, CRANDALL, TX 75114-2809
(361) 275-4898
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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