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NPI Code Detail

MEDICARE: DR. DAVID H BOLDT M.D.

MEDICARE: DR. DAVID H BOLDT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianF8805TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18H4413OTHERTXBCBS OF TEXAS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447253042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID H BOLDT M.D.
Provider Business Mailing Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229
Country : US
Telephone Number : 210-450-1000
Fax Number : 210-450-1150
Provider Business Practice Location Address
First Line : 7979 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4427
Country : US
Telephone Number : 210-450-1000
Fax Number : 210-450-1150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/23/2008

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Directions to “ DR. DAVID H BOLDT M.D.” Practice Location

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