Organization
BOILING SPRINGS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD BOLNICK MD (OWNER)
(800) 939-7440
Entity
Organization
Contact information
Practice address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 663-3600
(903) 663-3629
Mailing address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 663-3600
(903) 663-3629
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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