Healthcare Provider Details

I. General information

NPI: 1285813535
Provider Name (Legal Business Name): BOLKAR E SAHINLER, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 06/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3506 21ST ST SUITE 507
LUBBOCK TX
79410-1212
US

IV. Provider business mailing address

PO BOX 94810
LUBBOCK TX
79493-4810
US

V. Phone/Fax

Practice location:
  • Phone: 806-796-3000
  • Fax: 806-796-3006
Mailing address:
  • Phone: 806-796-3000
  • Fax: 806-796-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberL1727
License Number StateTX

VIII. Authorized Official

Name: MINDY JACKSON
Title or Position: OFFICE MANAGER
Credential: CPC
Phone: 806-796-3000