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Organization

BULL CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE GRAHAM (CREDENTIALING SPECIALIST)
(972) 245-1315
Entity
Organization

Contact information

Practice address
3120 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6784
(817) 431-6628
(817) 796-1833
Mailing address
3120 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6784
(817) 431-6628
(817) 796-1833

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/27/2016
Last updated
01/27/2016
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