MICHAEL GLEN BOULOS

SAN ANTONIO, TX
NPI1730020967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-02
Last Update Date2026-08-03
Business Address
Dr. MICHAEL GLEN BOULOS
2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX 78236-5313
Phone number: 210-292-6258
Mailing Address
Dr. MICHAEL GLEN BOULOS
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236-5313
Phone number:
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