Individual
ANA V BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11862 S LONE STAR PKWY, MOODY, TX 76557-3660
(512) 988-2826
Mailing address
50 HILLCREST MEDICAL BLVD, WACO, TX 76712-8952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7258
TX
Other
Enumeration date
01/30/2017
Last updated
12/21/2018
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