Claudia W Bullard, LPT
Individual provider Active NPI Orthopedic Physical Therapist · Beeville, TX
NPI 1205901279 · NPPES record last updated Dec 23, 2009
Key facts
- NPI
- 1205901279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 1132348 (TX)
- Practice address
- 1602 E Houston St
Suite C
Beeville, TX 78102-5326 - Phone
- (361) 358-9200
- Fax
- (361) 362-1671
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132348 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Affiliates, Inc | Orthopedic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1132348 | TX | Yes |
Addresses
Primary practice location
1602 E Houston St
Suite C
Beeville, TX 78102-5326
Mailing address
PO Box 1233
Kingsville, TX 78364-1233
Phone (361) 358-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166806301 | Medicaid | TX | |
| 84485T | Other | TX | BCBS |
Other providers in Beeville, TX
- Rosemary F Blocker
- Charles William Bode Jr.
- Brenda Stockton Bond
- Brazos Carinosos Inc
- Bronte D Baker OD Inc
- C H Wilkinson Physician Network
- C H Wilkinson Physician Network
- Francisco J Calica
- Yessenia Cantos
- Careville Pediatrics, PA
All providers in Beeville, TX · Orthopedic Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.