Individual
JASON HENRY BOULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101288180
VA
207T00000X
Neurological Surgery Physician
Primary
V8212
TX
Other
Enumeration date
04/10/2017
Last updated
02/11/2026
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