Organization
GERALD F BULLOCH, MD, PA
Active
Other names
Dallas Cardiovascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD F BULLOCH MD (MANAGING PARTNER / OWNER)
(214) 941-9100
Entity
Organization
Contact information
Practice address
221 W COLORADO BLVD, PAVILION 1 - SUITE 545, DALLAS, TX 75208-2363
(214) 941-9100
(214) 941-1949
Mailing address
221 W COLORADO BLVD, PAVILION 1 - SUITE 545, DALLAS, TX 75208-2363
(214) 941-9100
(214) 941-1949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TT84
BCBS
TX
Enumeration date
06/06/2006
Last updated
11/28/2007
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