Individual
DR. CHRISTOPHER J. BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-6226
(917) 922-7071
Mailing address
3801 SHERWOOD AVE, FORT WORTH, TX 76107-1043
(817) 625-5858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G9943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144408504
—
TX
Enumeration date
05/31/2006
Last updated
12/30/2021
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