Search › Texas › 207T00000X
Jason Boulter, MD
NPI 1336672914 · on the registry since 2017
Practice
- Address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234 - Phone
- (210) 916-7500
- Organisation at this address
- Ncng
Amc Bamc-Fsh
Dr. Angela Sallie, Pllc
Brooke Army Medical Center
Brooke Army Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,479
Additional practice sites
- 1250 E Marshall St, Richmond, VA
- 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA
- 417 N 11th St, Richmond, VA
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- VA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-10
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