Robert Lee Bullard in Tulsa - Physician Assistant

Robert Lee Bullard - NPI 1952354755

Robert Lee Bullard is a Physician Assistant in Tulsa, Oklahoma. Robert Lee Bullard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Lee Bullard is 1952354755. The last update date is 2015-12-07.

Robert Lee Bullard's current location address is 9320 S Mingo Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9188791700 and fax number 9188791701. The mailing address for Robert Lee Bullard is 9320 S Mingo Rd, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Lee Bullard
Address 9320 S Mingo Rd, Tulsa, Oklahoma
Phone Number 9188791700
Fax Number 9188791701
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1952354755
Provider Enumeration Date 2006-05-19
Last Updated Date 2015-12-07

Provider Mailing Address Detail

Address 9320 S Mingo Rd
City Tulsa
State Oklahoma (OK)
Post Code 741335710
Phone Number 9188791700
Fax Number 9188791701

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 195
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00283432 RAIL ROAD MEDICARE
100088420B OK --

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FAQs about Robert Lee Bullard

What is the unique identifier code issued to Robert Lee Bullard by the Centers for Medicare & Medicaid Services?

The Robert Lee Bullard has been assigned the NPI (National Provider Identifier) 1952354755. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Lee Bullard's facilities are situated?

The facilities of Robert Lee Bullard are physically located at the following address: 9320 S Mingo Rd, Tulsa, OK, 741335710.

What is Robert Lee Bullard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Lee Bullard's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1952354755 assigned to Robert Lee Bullard?

The Robert Lee Bullard was issued its 1952354755 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Robert Lee Bullard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert Lee Bullard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-07.

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