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Elijah Bouldin, MS, ATC, LAT
NPI 1225412216 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2 Nrg Park
Houston, TX 77054 - Phone
- (832) 667-2297
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas