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Evan Boullosa

LPTA

Physical Therapy Assistant

NPI: 1780412585Fort Sam Houston, Texas, 78234(210) 221-5033Male

About Evan Boullosa

Evan Boullosa, LPTA, is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1780412585. Their primary practice is located at 3265 KOEHLER RD BLDG 1385, Fort Sam Houston, Texas 78234.

Patients can reach the office at (210) 221-5033. Evan Boullosa has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1780412585
Entity Type
Individual
First Name
Evan
Last Name
Boullosa
Credential
LPTA
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
3265 KOEHLER RD BLDG 1385
City
Fort Sam Houston
State
Texas
ZIP
78234-7587
Country
United States
Phone
(210) 221-5033

Specialty & Taxonomy

Primary Specialty
Physical Therapy Assistant
Classification
Physical Therapy Assistant
Taxonomy Code
225200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
227 DWYER AVE APT 210
City
SAN ANTONIO
State
TX
ZIP
782041238

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Evan Boullosa's NPI number?
Evan Boullosa's National Provider Identifier (NPI) is 1780412585. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Evan Boullosa specialize in?
Evan Boullosa specializes in Physical Therapy Assistant.
Where is Evan Boullosa located?
Evan Boullosa practices at 3265 KOEHLER RD BLDG 1385, Fort Sam Houston, Texas 78234. You can reach them by phone at (210) 221-5033.
Does Evan Boullosa accept Medicare?
Based on available data, Evan Boullosa is not currently enrolled in the Medicare program.
Does Evan Boullosa offer telehealth or virtual visits?
Evan Boullosa does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Evan Boullosa is 1780412585.