Individual
MS. JEAN BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-A
Contact information
Practice address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0063
(210) 824-8514
Mailing address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0063
(210) 824-8514
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50862
TX
237600000X
Audiologist-Hearing Aid Fitter
50862
TX
237700000X
Hearing Instrument Specialist
50862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151653604
—
TX
01
—
50862
STATE LICENSE NUMBER
TX
01
—
90166
HEARING AID DISPENSING
TX
Enumeration date
10/13/2005
Last updated
09/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us