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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHON BULLARD

Active Sole Proprietor

NATHON BULLARD is a Physical Therapy Assistant healthcare provider located in POWDERLY, Texas. NPI 1386064822 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POWDERLY, TX

Registration Details

NPI Number
1386064822
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2014 (12.316076047657 yrs)
Last Updated
Jun 12, 2019
License
1231987 (TX)
Sole Proprietor
Yes

Practice Information

Address
3815 COUNTY ROAD 33900
POWDERLY, TX, 754735026
Browse TX providers · Browse ZIP 75473
Phone
9032278081
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.