Individual
DESIREE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 QUARTERHORSE DR, ALVIN, TX 77511-1784
(513) 388-1500
Mailing address
1223 QUARTERHORSE DR, ALVIN, TX 77511-1784
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121302
—
OH
Enumeration date
01/10/2022
Last updated
01/10/2022
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