Individual
FARLEY ANTONIO HERNANDEZ BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
13203 PARKWAY HILLS DR, HOUSTON, TX 77077-2762
(713) 409-7635
Mailing address
13203 PARKWAY HILLS DR, HOUSTON, TX 77077-2762
(713) 409-7635
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-545
TX
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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