TRAVIS SHANE BULLOCK

SAN ANTONIO, TX
NPI1285216325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TX  725298)
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
Dr. TRAVIS SHANE BULLOCK MD
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-450-9300
Mailing Address
Dr. TRAVIS SHANE BULLOCK MD
2623 OBERA WAY
SAN ANTONIO, TX 78228-3411
Phone number: 210-709-3434
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