Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 99022 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 879179 | TX |
NPI | 1073628574 |
---|---|
Provider Name | April M Bullock |
First Address | Austin, TX 78701-1123 |
Second Address | Austin, TX 78701-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 27/07/2019 |