Individual
SALLY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9639 HUEBNER RD, SAN ANTONIO, TX 78240
(210) 692-3636
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7062
(210) 434-1704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P6790
TX
Other
Enumeration date
05/28/2009
Last updated
06/01/2018
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