Individual
CHRISTINE THERESA BULOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., HCLD(ABB)
Contact information
Practice address
3810 MEDICAL PKWY STE 253, AUSTIN, TX 78756-4006
(504) 957-7003
Mailing address
402A W PALM VALLEY BLVD # 105, ROUND ROCK, TX 78664-4237
(504) 957-7003
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
01/12/2023
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