Individual
LESSLIE R BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1860
(254) 968-6051
(254) 968-1860
Mailing address
P.O BOX 961205, FORT WORTH, TX 76161-1205
(177) 408-4008
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP139212
TX
Other
Enumeration date
11/01/2018
Last updated
09/20/2019
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