Individual provider · Type 1 NPI
Cassandra W. Bullock
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1417670100
Active
Practice location
8535 Tom Slick
San Antonio, TX 78229-3367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 956188 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1097442 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417670100
Cassandra W. Bullock's National Provider Identifier is 1417670100, issued on Sep 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on Jul 1, 2026.