J. Blake Bolin, M.d., P.a.

NPI #1285819516 in Frisco, Texas

Provider Information

NPI Number: 1285819516
Entity Type: Organization
Organization Name: J. Blake Bolin, M.d., P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: J. BLAKE BOLIN, M.D.
Primary Specialty: Specialist
Enumeration Date: Jan 6, 2008
Last Updated: Jan 6, 2008

Practice Location

Address: 3550 PARKWOOD BLVD
Address 2: STE 405
City: Frisco
State: Texas
ZIP Code: 75034-1903
Phone: (469) 287-8800

Authorized Official

Name: DONNA K WARD, CPC
Title: BILLING REP
Phone: (214) 551-5101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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