Individual provider · NPI-1

Patricia Bullock, PT

Physical Therapist · San Marcos, TX

NPI number1073713889
StatusActive
Last updated in NPPESJul 19, 2007

Details

NPI
1073713889
Entity type
Individual (NPI-1)
Name
Mrs. Patricia Bullock
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2007
Last updated
Jul 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1041879TXYes

Practice location

101 Uhland Rd Ste 112
San Marcos, TX 78666-6681

Phone 512-396-0872 · Fax 512-396-1918

Mailing address

101 Uhland Rd Ste 112
San Marcos, TX 78666-6681

Phone 512-396-0872 · Fax 512-396-1918

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