Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN BOULLOSA, LPTA
ActiveEVAN BOULLOSA, LPTA is a Occupational Therapist healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1780412585 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1780412585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2024 (2.0201603880958 yrs)
- Last Updated
- Jul 23, 2024
- License
-
2159129 (TX)
Practice Information
- Address
-
3265 KOEHLER RD BLDG 1385FORT SAM HOUSTON, TX, 782347587Browse TX providers · Browse ZIP 78234
- Phone
- 2102215033
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FORT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN INZINNA | PTA | 1356513816 |
| JENNIFER M MEADOWS | LPTA | 1366878936 |
| BRIAN M FREEMAN | PTA | 1356004485 |
| RASHEEDAH JOHNSON | — | 1851054761 |
| ESTIE FISHBURN | PTA | 1710648308 |
| KELLIE LYNNE CUMMINGS | PTA | 1073265427 |
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.