Individual
CHRISTY R BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5530
OK
207P00000X
Emergency Medicine Physician
E-10223
AR
207Q00000X
Family Medicine Physician
E-10223
AR
207RP1001X
Pulmonary Disease Physician
Primary
05-51206
KS
Other
Enumeration date
01/28/2014
Last updated
06/26/2025
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