Individual provider · Type 1 NPI
Jeremy Tyler Bolin, MD
Vascular Surgery Physician · Fort Sam Houston, TX
NPI number
1023471174
Active
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | A151508 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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Other vascular surgery physician providers in Fort Sam Houston
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- Kenneth John Bogenberger, MDVascular Surgery Physician Fort Sam Houston, TX NPI 1942659016
About NPI 1023471174
Jeremy Tyler Bolin, MD's National Provider Identifier is 1023471174, issued on Apr 5, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 30, 2022.