Ryan Bullard, | |
4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | |
(806) 744-7223 | |
(806) 740-3325 |
Full Name | Ryan Bullard |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 4515 Marsha Sharp Fwy, Lubbock, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588075402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP125507 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grace Medical Center | Lubbock, TX | Hospital |
Covenant Medical Center | Lubbock, TX | Hospital |
Covenant Childrens Hospital | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grace Clinic Of Lubbock | 5597768101 | 77 |
Entity Name | South Plains Rural Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295746402 PECOS PAC ID: 4880505726 Enrollment ID: O20040610000024 |
Entity Name | Grace Clinic Of Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953357 PECOS PAC ID: 5597768101 Enrollment ID: O20060822000256 |
Mailing Address | Practice Location Address |
---|---|
Ryan Bullard, 1000 Fm 300, Levelland, TX 79336-6235 Ph: (806) 894-7842 | Ryan Bullard, 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 Ph: (806) 744-7223 |
Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588 | |
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388 | |
Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534 | |
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861 | |
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400 | |
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815 | |
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880 |