SALLY BULLOCK (NPI# 1992930366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992930366 |
| Entity Type | Individual |
| Full Name | SALLY BULLOCK |
| Credential | MD |
| Practice Address |
9639 Huebner Rd San Antonio TX 78240 |
| Mailing Address |
3066 E Commerce St San Antonio TX 78220-1013 |
| Practice Telephone | 2106923636 |
| Mailing Telephone | 2102337062 |
| Mailing Fax Number | 2104341704 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | P6790 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396784971 | Sally Bullock | Internal Medicine | 1272 Garrison Drive, Murfreesboro, TN 37129 | 2006-06-06 |
| Street Address |
9639 HUEBNER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790701738 | Bernard Rudolph Cavazos Jr. | Obstetrics & Gynecology | 9639 Huebner Rd, San Antonio, TX 78240 | 2006-07-14 |
| 1558900316 | Gissette Dorinda Silva | Nurse Practitioner | 9639 Huebner Rd, San Antonio, TX 78240-1512 | 2019-12-27 |
| 1194247890 | Amaree Romo | Nurse Practitioner | 9639 Huebner Rd, San Antonio, TX 78240-1512 | 2017-07-13 |
| 1447268479 | Carolyn Lewallen Cavazos | Obstetrics & Gynecology | 9639 Huebner Rd, San Antonio, TX 78240-3415 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1174091458 | Community Birth Group | Obstetrics & Gynecology | 216 Tower Rd, San Antonio, TX 78223-6018 | 2018-11-05 |
| 1982184370 | Sarah Lewis | Obstetrics & Gynecology | 502 Madison Oak Dr Ste 440, San Antonio, TX 78258-4189 | 2018-08-15 |
| 1023463981 | Viviana Salom Ellis | Obstetrics & Gynecology | 4458 Medical Center Drive, Suite 705, San Antonio, TX 78229 | 2016-04-28 |
| 1073967642 | Erika Price | Obstetrics & Gynecology | 7711 Louis Pasteur Dr Ste 808, San Antonio, TX 78229-3412 | 2016-04-20 |
| 1639537137 | Alexander Golab | Obstetrics & Gynecology | 3518 Puesta De Sol, San Antonio, TX 78261-2415 | 2016-01-29 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1457746232 | Amy Johnson Gonzales | Obstetrics & Gynecology | 11212 State Highway 151 Medical Plaza 2, Suite 350, San Antonio, TX 78251 | 2015-03-30 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1003228776 | Stephanie Schaefer | Obstetrics & Gynecology | 525 Oak Centre Dr Ste 300, San Antonio, TX 78258-3916 | 2014-05-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.