Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Bulloch, FNP-C

Individual provider Family Nurse Practitioner · NPI 1376187922

Mackenzie Bulloch, FNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with The West Texas Rehabilitation Center, a 459-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

9101 N Central Expy Ste 600
Dallas, TX 75231-5956
Phone: (214) 660-5754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP143194 (TX)

Record details

NPI number1376187922
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The West Texas Rehabilitation Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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