Bryan James Dulock, CRNA
Nurse Anesthetist, Certified Registered in Decatur, TX. Individual provider (NPI-1).
NPI number1154518264
StatusActive
Last updated in NPPESJan 28, 2014
Details
- NPI
- 1154518264
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bryan James Dulock
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2007
- Last updated
- Jan 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 648519 | TX | Yes |
Practice location
604 Medical Center DrDecatur, TX 76234
Phone 940-626-1282
Mailing address
259 County Road 3633Gainesville, TX 76240-6787
Phone 904-665-2233
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