MR. DERRICK PAUL BOULDIN JR. PA-C
NPI 1245812320
Student in an Organized Health Care Education/Training Program in Fort Sam Houston, TX
About Mr. Derrick Paul Bouldin Jr. Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DERRICK PAUL BOULDIN JR. PA-C (NPI 1245812320) is an individual student in an organized health care education/training program in Fort Sam Houston, Texas, licensed in Texas (PA20425) and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derrick Bouldin's NPI number?
The NPI number for Derrick Bouldin is 1245812320. It was assigned to this individual provider in the NPPES registry on April 27, 2021.
Where is Derrick Bouldin located?
Derrick Bouldin practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-7500.
What is Derrick Bouldin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Derrick Bouldin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
