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Organization

MARTIN, WEDEL & BULLARD, P.C.

Active
Other names
Family Eye Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEATH L BULLARD O.D. (OWNER)
(817) 645-2411
Entity
Organization

Contact information

Practice address
4460 E HIGHWAY 287 STE A, MIDLOTHIAN, TX 76065-7031
(972) 775-8000
(972) 775-8003
Mailing address
839 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 645-2411
(817) 645-3447

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0065DG
BLUE CROSS BLUE SHIELD
TX
01
80182Q
BLUE CROSS BLUE SHIELD
TX
01
80183Q
BLUE CROSS BLUE SHIELD
TX
01
80286Q
BLUE CROSS BLUE SHIELD
TX
01
81036Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/08/2005
Last updated
04/14/2023
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