Individual
DAVID WARREN BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 N TITUS, SUITE 120, GILMER, TX 75644
(903) 843-5585
(903) 843-5587
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H3446
TX
207Q00000X
Family Medicine Physician
Primary
H3446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137338321
—
TX
Enumeration date
05/27/2005
Last updated
09/20/2019
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