Individual
AMANDA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 WEST RD APT 1305, HOUSTON, TX 77065-4789
(346) 283-5154
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
773951
TX
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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