Individual
DONALD BOULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1338 JUNIPER LN, LEWISVILLE, TX 75077-2838
(214) 498-9558
Mailing address
1338 JUNIPER LN, LEWISVILLE, TX 75077-2838
(214) 498-9558
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
GMR02006320
TX
Other
Enumeration date
01/31/2023
Last updated
02/28/2023
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