SearchTexas390200000X

Jesse Bulos

NPI 1720210214 · on the registry since 2009 · sole proprietor

Practice

Address
8413 Parkland Dr
El Paso, TX 79925
Phone
(915) 861-8469

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas