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Organization

BRUCE A. BOLLINGER, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE ALAN BOLLINGER MD (OWNER/PRESIDENT)
(817) 877-1118
Entity
Organization

Contact information

Practice address
800 12TH AVE, SUITE 300, FORT WORTH, TX 76104-2518
(817) 877-1118
(817) 877-5317
Mailing address
800 12TH AVE, SUITE 300, FORT WORTH, TX 76104-2518
(817) 877-1118
(817) 877-5317

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1468
TX

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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