DR. Jonathan Hartley Boultinghouse, O.D.

NPI #1528058435 in Lufkin, Texas

Provider Information

NPI Number
1528058435
Entity Type
Individual
Name
DR. Jonathan Hartley Boultinghouse, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Oct 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2 MEDICAL CENTER BLVD
City
Lufkin
State
Texas
ZIP Code
75904-3175
Phone
(936) 634-8434

Specialties & Taxonomy Codes

Specialty
Optometrist

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