Active NPI
Keilea Bullard
- Other Specialist/Technologist
- Houston, TX
National Provider Identifier
1013387190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- AT5260
- Practice address
- 18300 Saint John Dr
Houston, TX 77058-6302 - Phone
- (281) 333-5503
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | AT5260 | TX | Primary |
Addresses
Primary practice location
18300 Saint John Dr
Houston, TX 77058-6302
Mailing address
1226 Mabry Mill Rd
Houston, TX 77062-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5260 | TX | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1013387190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 MABRY MILL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770622000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 SAINT JOHN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770586302",
"telephone_number": "281-333-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLARD",
"first_name": "KEILEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "TX",
"license": "AT5260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.