Individual provider · Type 1 NPI
Michael Joseph Bolesta, MD
Orthopaedic Surgery of the Spine Physician · Dallas, TX
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Fax (214) 645-0078
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | J5702 (TX) |
Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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About NPI 1205896149
Michael Joseph Bolesta, MD's National Provider Identifier is 1205896149, issued on Mar 24, 2006. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.