Individual
ANDREW LUIS BOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(713) 873-7045
Mailing address
1504 TAUB LOOP, EMERGENCY MEDICINE, HOUSTON, TX 77030-1608
(713) 873-7045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD61423983
WA
207P00000X
Emergency Medicine Physician
Primary
R7178
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/17/2015
Last updated
05/23/2023
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