DR. Travis Shane Bullock, MD

NPI #1285216325 in San Antonio, Texas

Provider Information

NPI Number: 1285216325
Entity Type: Individual
Name: DR. Travis Shane Bullock, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Apr 27, 2021
Last Updated: Apr 27, 2021

Practice Location

Address: 4502 MEDICAL DR
City: San Antonio
State: Texas
ZIP Code: 78229-4402
Phone: (210) 450-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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