KEINISHA BULLARD

TYLER, TX
NPI1649578451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN108766)
Enumeration Date2011-03-02
Last Update Date2014-10-14
Business Address
-- KEINISHA BULLARD CRNA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-531-4500
Mailing Address
-- KEINISHA BULLARD CRNA
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000