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Issac Bolanos, PA
NPI 1407193840 · on the registry since 2013
Practice
- Address
- 1313 Red River St
Suite 200
Austin, TX 78701 - Phone
- (512) 391-1751
- Fax
- (512) 391-1906
- Organisation at this address
- Austin Skeletal Trauma Specialists, Pa
Central Texas Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-04
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