Individual
ELIJAH BOULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2 NRG PARK, HOUSTON, TX 77054-1573
(832) 667-2297
Mailing address
2 NRG PARK, HOUSTON, TX 77054-1573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6346
TX
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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