DR. Jerry Blake Bolin, M.D.

NPI #1174563043 in Frisco, Texas

Provider Information

NPI Number: 1174563043
Entity Type: Individual
Name: DR. Jerry Blake Bolin, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 7, 2006
Last Updated: Dec 31, 2020

Practice Location

Address: 3550 PARKWOOD BLVD.
Address 2: BLDG. D, STE. 405
City: Frisco
State: Texas
ZIP Code: 75034
Phone: (469) 287-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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