Individual
CLAYTON PATRICK BULLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6200 REGIONAL PLZ, SUITE 1200, ABILENE, TX 79606-5250
(325) 690-1805
(325) 690-6145
Mailing address
6200 REGIONAL PLZ, SUITE 1200, ABILENE, TX 79606-5250
(325) 690-1805
(325) 690-6145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116581301
—
TX
01
—
20132065
TX DPS REGIST. NO.
TX
01
—
PA03531
STATE LICENSE
TX
Enumeration date
12/29/2006
Last updated
10/01/2008
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