Mary Carla Bolan in Bandera - Athletic Trainer

Mary Carla Bolan - NPI 1053441378

Mary Carla Bolan is a Athletic Trainer in Bandera, Texas. Mary Carla Bolan practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mary Carla Bolan is 1053441378. The last update date is 2007-07-08.

Mary Carla Bolan's current location address is Po Box 1924, Bandera, Texas. You can contact this provider via phone number 8307966308 and fax number 8307967934. The mailing address for Mary Carla Bolan is Po Box 1924, Bandera, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Carla Bolan
Address Po Box 1924, Bandera, Texas
Phone Number 8307966308
Fax Number 8307967934
Sole Proprietor Y
Credentials A.T.C., L.

NPI Number Detail

NPI Number 1053441378
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1924
City Bandera
State Texas (TX)
Post Code 780031924
Phone Number 8307966308
Fax Number 8307967934

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No AT1434
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Mary Carla Bolan

What is the unique 10-digit identification code assigned to Mary Carla Bolan by the Centers for Medicare & Medicaid Services?

The Mary Carla Bolan has been issued the NPI (National Provider Identifier) 1053441378, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mary Carla Bolan is located?

The Mary Carla Bolan is situated at the following address: Po Box 1924, Bandera, TX, 780031924.

What is Mary Carla Bolan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Carla Bolan is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.

On what date was the 1053441378 assigned to Mary Carla Bolan?

The Mary Carla Bolan was issued its 1053441378 on 2007-03-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mary Carla Bolan most recently updated or refreshed?

The details pertaining to the Mary Carla Bolan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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