SearchTexas246ZC0007X

Henry Bolanos

NPI 1548915820 · on the registry since 2022 · sole proprietor

Practice

Address
212 Staunton Dr
Leander, TX 78641
Phone
(512) 644-1931
Fax
(214) 764-0880

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Also registered as
363AS0400X
246ZC0007X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-24

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