Individual
MEGAN BULLERWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 798-8650
Mailing address
7550 KIRBY DR APT 924, HOUSTON, TX 77030-4370
(707) 291-9892
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
798426
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
92550
TX
367500000X
Certified Registered Nurse Anesthetist
AP125102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92550
CRNA
TX
Enumeration date
01/27/2014
Last updated
07/07/2022
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