Individual provider · Type 1 NPI

Jason Henry Boulter, MD

Neurological Surgery Physician · Fort Sam Houston, TX

NPI number 1336672914 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125

Other practice locations

  • 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 828-9165
  • 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401-4466 · (540) 741-2871
  • 417 N 11th St, Richmond, VA 23298-5024 · (804) 828-9165

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X0101288180 (VA)
Neurological Surgery Physician Primary 207T00000XV8212 (TX)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1336672914

Jason Henry Boulter, MD's National Provider Identifier is 1336672914, issued on Apr 10, 2017. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Sep 10, 2026.