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Individual

CASSANDRA W BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 567-5460
Mailing address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 567-5460

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
956188
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1097442
TX

Other

Enumeration date
09/19/2022
Last updated
08/06/2024
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