Individual
MR. DARRYL BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
2616 BERKLEY LN, FRISCO, TX 75034-4331
(817) 404-9416
Mailing address
3100 MONTICELLO AVE, DALLAS, TX 75205-3442
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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