Individual
DR. HEATH L BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
839 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 645-2411
(817) 645-2189
Mailing address
839 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 645-2411
(817) 645-3447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5894
TX
152W00000X
Optometrist
5894TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463648-01
—
TX
01
—
23910
OPTICARE
TX
01
—
80286Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/08/2005
Last updated
02/16/2024
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