Individual
MRS. JILL DIANE BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 BROADWAY ST, CVS/MINUTE CLINIC, PEARLAND, TX 77581-4507
(281) 997-4400
(281) 997-4400
Mailing address
6060 FAIRMONT PKWY, APT. 10307, PASADENA, TX 77505-4049
(832) 236-2142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04722
TX
Other
Enumeration date
03/10/2006
Last updated
02/12/2009
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