Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY CARLA BOLAN, A.T.C., L.A.T.
Active Sole ProprietorMS. MARY CARLA BOLAN, A.T.C., L.A.T. is a Athletic Trainer healthcare provider located in BANDERA, Texas. NPI 1053441378 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BANDERA, TX
Registration Details
- NPI Number
- 1053441378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2007 (19.401917856922 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT1434 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
474 OLD SAN ANTONIO HWY.BANDERA, TX, 78003Browse TX providers · Browse ZIP 78003
- Phone
- 8307965549
- Fax
- 8307967934
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.