Individual
RAN BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20894 VIRGINIA RD, FLINT, TX 75762-5418
(903) 571-2135
Mailing address
900 TX-256 SOUTH LOOP, PALESTINE, TX 75801
(903) 731-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP136199
TX
282NR1301X
Rural Acute Care Hospital
AP136199
TX
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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