Healthcare Provider Details

I. General information

NPI: 1598045338
Provider Name (Legal Business Name): AINSLEY HUGH BULGIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 MORGAN RIDGE LN
SPRING TX
77386-3316
US

IV. Provider business mailing address

2423 MORGAN RIDGE LN
SPRING TX
77386-3316
US

V. Phone/Fax

Practice location:
  • Phone: 281-658-1509
  • Fax:
Mailing address:
  • Phone: 281-658-1509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR46798
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number725539
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number725539
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: