Individual
MS. BRANDI JILL BULLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3815 23RD ST, LUBBOCK, TX 79410-1809
(806) 722-3500
(806) 796-0689
Mailing address
3815 23RD ST, LUBBOCK, TX 79410-1809
(806) 722-3500
(806) 796-0689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03135
TX
Other
Enumeration date
03/08/2007
Last updated
12/01/2021
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