Individual
JASON MORRIS BOLEY
Active
Individual
JASON MORRIS BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174299103
—
TX
05
—
174299106
—
TX
05
—
182843601
—
TX
01
—
8H9043
BC/BS PROVIDER NUMBER
TX
01
—
8X7829
BCBS
TX
01
—
P00663817
MEDICARE RAILROAD
TX
Enumeration date
04/26/2006
Last updated
12/03/2021
Update your record
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