Henry Enrique Bolanos

Surgical Assistant · Leander, TX

Individual Active NPI

NPI number 1548915820

Practice location

212 Staunton Dr
Leander, TX 78641-5469
Phone
(512) 644-1931
Fax
(214) 764-0880

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NPI record

NPI
1548915820
Entity type
Individual (Type 1)
Enumeration date
February 15, 2022
Last updated
September 24, 2023
Certified
September 24, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Assistant Primary 246ZC0007X SA00938 TX
Surgical Physician Assistant 363AS0400X — —
Surgical Assistant 246ZC0007X 196515 TX

Mailing address

214 Riley Ln
Fredericksburg, TX 78624-3562
Phone
(214) 227-2457
Fax
(214) 764-0880

About Henry Bolanos

Henry Enrique Bolanos is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Assistant (code 246ZC0007X). The practice location is 212 Staunton Dr, Leander, TX 78641-5469. The NPI number 1548915820 was assigned on February 15, 2022 and the record was last updated on September 24, 2023.

Henry Bolanos lists 2 licenses in the registry: #SA00938 (TX) for Surgical Assistant; #196515 (TX) for Surgical Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Henry Enrique Bolanos?

The NPI number is 1548915820.

What is the phone number of Henry Bolanos?

The phone number listed for the practice location is (512) 644-1931.

Where is Henry Bolanos located?

212 Staunton Dr, Leander, TX 78641-5469.

What is the taxonomy code for Henry Bolanos?

The primary taxonomy code is 246ZC0007X – Surgical Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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