Shelly Laree Bullock

NPI #1609677707 in Bay City, Texas

Provider Information

NPI Number
1609677707
Entity Type
Individual
Name
Shelly Laree Bullock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 24, 2025
Last Updated
Jun 25, 2025

Practice Location

Address
1120 AVENUE G
State
Texas
ZIP Code
77414-3541
Phone
(979) 245-5721

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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