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Contact Information

BRENT BULTEMEIER PA
3207 NEW BOSTON ROAD
TEXARKANA, TX75501
 Phone: 903-832-8765
 Fax: 903-832-6060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRENT BULTEMEIER PA · (Female)

NPI # 1134248271
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2007
Last updated 08/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 5532
  • TX Other 0072QD BLUE CROSS BLUE SHIELD OF TX
  • TX Other DE5478 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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