ISSAC ISAIAH BOLANOS

AUSTIN, TX
NPI1407193840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA08063)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
-- ISSAC ISAIAH BOLANOS PA
1313 RED RIVER ST SUITE 200
AUSTIN, TX 78701-1943
Phone number: 512-391-1751
Mailing Address
-- ISSAC ISAIAH BOLANOS PA
1313 RED RIVER ST SUITE 200
AUSTIN, TX 78701-1943
Phone number: 512-391-1751
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