Individual
DR. JAYANTH BOLARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2405 9TH ST STE A, WICHITA FALLS, TX 76301-4060
(863) 214-3230
Mailing address
2405 9TH ST STE A, WICHITA FALLS, TX 76301-4060
(863) 214-3230
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME92560
FL
2084P0800X
Psychiatry Physician
Primary
S9660
TX
Other
Enumeration date
08/31/2006
Last updated
09/12/2022
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