Jerry Blake Bolin in Frisco - Family Medicine
Jerry Blake Bolin - NPI 1174563043
Jerry Blake Bolin is a Family Medicine in Frisco, Texas. Jerry Blake Bolin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Blake Bolin is 1174563043. The last update date is 2020-12-31.
Jerry Blake Bolin's current location address is 3550 Parkwood Blvd., Frisco, Texas. You can contact this provider via phone number 4692878800 and fax number 4692878801. The mailing address for Jerry Blake Bolin is 3550 Parkwood Blvd., Frisco, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Blake Bolin |
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Address | 3550 Parkwood Blvd., Frisco, Texas |
Phone Number | 4692878800 |
Fax Number | 4692878801 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1174563043 |
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Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2020-12-31 |
Provider Mailing Address Detail
Address | 3550 Parkwood Blvd. |
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City | Frisco |
State | Texas (TX) |
Post Code | 75034 |
Phone Number | 4692878800 |
Fax Number | 4692878801 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | K8014 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code issued to Jerry Blake Bolin by the Centers for Medicare & Medicaid Services?
The Jerry Blake Bolin has been assigned the NPI (National Provider Identifier) 1174563043 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerry Blake Bolin is physically located?
The Jerry Blake Bolin is situated at the following address: 3550 Parkwood Blvd., Frisco, TX 75034.
What is Jerry Blake Bolin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Blake Bolin is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174563043 to Jerry Blake Bolin?
The Jerry Blake Bolin received its 1174563043 assignment from the Centers for Medicare & Medicaid Services on 2006-06-07.
When was the information related to Jerry Blake Bolin most recently updated or refreshed?
The details pertaining to the Jerry Blake Bolin, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-31.