Bullock, Jeff

Bullock, Jeff is an individual health care provider with primary practice located at 520 E Euclid Ave , San Antonio TX 78212-4414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bullock, Jeff can be contacted via phone (210) 271-0606.

Contact Information

Primary practice address
520 E Euclid Ave San Antonio TX 78212-4414
Phone: (210) 271-0606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X K7135 Texas

Profile Details

NPI number 1528062288
LBN Legal business name Bullock, Jeff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 21st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528062288 NPPES
Texas Other 00RM40 MEDICARE
Texas MEDICAID 147650902 MEDICARE

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