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Issac Isaiah Bolanos, PA
Medical Physician Assistant in Austin, Texas
NPI 1407193840

Issac Isaiah Bolanos is a Medical Physician Assistant based in Austin, TX and is specialized in Medical. Issac Isaiah Bolanos practices in Austin, TX and has the professional credentials of PA. The NPI Number for Issac Isaiah Bolanos is 1407193840 and holds a License No. PA08063 (Texas).

The current practice location address for Issac Isaiah Bolanos is 1313 Red River St, Austin, TX and can be reached out via phone at 512-391-1751 and via fax at 512-391-1906. You can also correspond with Issac Isaiah Bolanos through the mailing address at 1313 RED RIVER ST, AUSTIN, TX - 78701-1943 (mailing address contact number: 512-391-1751).

Location: 1313 Red River St, Austin, TX, 78701-1943
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Provider Profile Details
NPI Number
1407193840
Provider Name
Issac Isaiah Bolanos
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1313 Red River St, Austin, TX, 78701-1943
Phone Number
512-391-1751
Fax Number
512-391-1906
Provider Enumeration Date
01/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA08063 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
1313 Red River St
City
State
Zip
78701-1943
Phone Number
512-391-1751
Fax Number
512-391-1906
person
Provider Business Mailing Address Details
Address
1313 Red River St
City
State
Zip
78701-1943
Phone Number
512-391-1751
Fax Number
512-391-1906
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA08063 (Texas)
Definition
Definition to come...
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