Individual
JACQUELINE BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7601 PRESTON RD, PLANO, TX 75024-3214
(469) 303-7000
Mailing address
1409 N ZANG BLVD APT 718, DALLAS, TX 75203-1233
(253) 468-3007
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
S5563
TX
Other
Enumeration date
04/10/2017
Last updated
08/31/2023
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