Individual
BRUCE L BOLBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 FM 1826, BUILDING ONE, DEPT OF ANESTHESIOLOGY, AUSTIN, TX 78737
(512) 324-9008
(512) 324-9086
Mailing address
PO BOX 141456, AUSTIN, TX 78714
(512) 225-6350
(512) 225-6344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F4040
BC
—
Enumeration date
11/09/2006
Last updated
07/16/2007
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