Mr Henry Enrique Bolanos, is a
Specialist/technologist, Other - Surgical Assistant based in Leander, Texas. Mr Henry Enrique Bolanos is licensed to practice in Texas (license number SA00938) and his current practice location is
212 Staunton Dr, Leander, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 644-1931.
NPI number for Mr Henry Enrique Bolanos is 1548915820 and his current mailing address is 214 Riley Ln, Fredericksburg, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548915820.
Provider's Profile
| Full Name | Mr Henry Enrique Bolanos |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist, Other - Surgical Assistant |
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| Location | 212 Staunton Dr, Leander, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548915820
- Provider Enumeration Date: 02/15/2022
- Last Update Date: 09/24/2023
Medical Identifiers
Medical identifiers for Mr Henry Enrique Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548915820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 196515 (Texas) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA00938 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Henry Enrique Bolanos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Henry Enrique Bolanos,
214 Riley Ln,
Fredericksburg, TX 78624-3562
Ph: (214) 227-2457 | Mr Henry Enrique Bolanos,
212 Staunton Dr,
Leander, TX 78641-5469
Ph: (512) 644-1931 |
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