Individual
BHASWANTH BOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 RICK FRANCIS ST, EL PASO, TX 79905-2841
(915) 215-5200
(915) 215-8640
Mailing address
4801 ALBERTA AVE. EL PASO TX 79938 TEXAS TECH HEALTH SC, EL PASO, TX 79905
(915) 215-4116
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10090519
TX
Other
Enumeration date
05/03/2024
Last updated
07/31/2025
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