Organization
MARTIN, WEDEL & BULLARD, P.C.
Active
Other names
Cleburne Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH L BULLARD O.D. (OWNER)
(817) 645-2411
Entity
Organization
Contact information
Practice address
839 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 645-2411
(817) 645-3447
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065DG
BLUE CROSS BLUE SHIELD
TX
05
—
019132201
—
TX
01
—
80181Q
BLUE CROSS BLUE SHIELD
TX
01
—
80182Q
BLUE CROSS BLUE SHIELD
TX
01
—
80183Q
BLUE CROSS BLUE SHIELD
TX
01
—
80286Q
BLUE CROSS BLUE SHIELD
TX
01
—
81036Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/08/2005
Last updated
04/14/2023
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