MR. Henry Enrique Bolanos

NPI #1548915820 in Leander, Texas

Provider Information

NPI Number
1548915820
Entity Type
Individual
Name
MR. Henry Enrique Bolanos
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Feb 15, 2022
Last Updated
Sep 24, 2023

Practice Location

Address
212 STAUNTON DR
State
Texas
ZIP Code
78641-5469
Phone
(512) 644-1931

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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