Individual
DR. ANDREW C. BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3032 COMMUNICATIONS PKWY, PLANO, TX 75093-8913
(972) 943-8440
(972) 943-8348
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M5063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214089901
—
TX
01
—
8CH522
BCBSTX
TX
01
—
M5063
MEDICAL LICENSE
TX
Enumeration date
02/27/2007
Last updated
05/16/2013
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