Individual
DR. DELIA ELIZABETH BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
903 WEST MARTIN, MS 19-2, SAN ANTONIO, TX 78207-3110
(210) 358-3710
(210) 358-5941
Mailing address
903 WEST MARTIN, MS 19-2, SAN ANTONIO, TX 78207-3110
(210) 358-3710
(210) 358-5941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4013
TX
Other
Enumeration date
11/29/2005
Last updated
11/03/2011
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