Individual
DR. FERNANDO ALFREDO BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q3338
TX
208M00000X
Hospitalist Physician
Q3338
TX
Other
Enumeration date
07/23/2009
Last updated
12/11/2025
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