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Individual

JAMES REID BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
986675
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1193924
TX

Other

Enumeration date
12/20/2024
Last updated
04/29/2025
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