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ISSAC ISAIAH BOLANOS PA
NPI 1407193840
Physician Assistant - Medical in Austin, TX

Active since January 04, 2013
1313 RED RIVER ST, SUITE 200, AUSTIN, TX 78701(512) 391-1751(512) 391-1906 Get Directions Write a Review

NPPES record last updated: January 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Issac Isaiah Bolanos Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISSAC ISAIAH BOLANOS PA (NPI 1407193840) is an individual medical provider in Austin, Texas, licensed in Texas (PA08063) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1407193840
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameISSAC ISAIAH BOLANOSCredential: PA
Location Address1313 RED RIVER ST, SUITE 200Austin, TX 78701-1943
Mailing Address1313 Red River St, Suite 200Austin, TX 78701-1943 · (512) 391-1751 · Fax (512) 391-1906
Phone(512) 391-1751
Fax(512) 391-1906
Sole ProprietorNo
Enumeration DateJanuary 4, 2013
✔ NPI 1407193840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA08063
1313 RED RIVER ST, Austin, TX 78701
Open in Google Maps ↗

Other Identifiers 1

OtherPA08063TX · Tx License

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA ANN LOPEZ PHARM.D.
Pharmacist (Pharmacotherapy)
1313 RED RIVER ST, STE 100
AUSTIN, TX 78701
Travis County (512) 324-8604
DR. DANNIELLE O'DONNELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1313 RED RIVER ST, SUITE 100
AUSTIN, TX 78701
Travis County (512) 324-8600
DR. MELINDA ELIZABETH LOPEZ M.D.
Obstetrics & Gynecology
1313 RED RIVER ST, #303
AUSTIN, TX 78701
Travis County (512) 324-7036
SARA PINKMAN CNM
Advanced Practice Midwife
1313 RED RIVER ST, SUITE 303B OB-GYN
AUSTIN, TX 78701
Travis County (540) 842-2777
GWENDOLYN LUECKE
Obstetrics & Gynecology
1313 RED RIVER ST, SUITE A1
AUSTIN, TX 78701
Travis County (512) 324-7036
KRISHNA SINGH MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1313 RED RIVER ST, SUITE A1
AUSTIN, TX 78701
Travis County (512) 324-7246
DR. JENNIFER LYN AYRES PH.D.
Psychologist (Clinical)
1313 RED RIVER ST, SUITE 100
AUSTIN, TX 78701
Travis County (512) 324-8611
JOHN DRAKE LUFKIN M.D.
Family Medicine
1313 RED RIVER ST, STE. 100
AUSTIN, TX 78701
Travis County (512) 734-1418

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 Issac Bolanos's NPI number?

The NPI number for Issac Bolanos is 1407193840. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Where is Issac Bolanos located?

Issac Bolanos practices at 1313 Red River St Suite 200, Austin, TX 78701. The listed phone number is (512) 391-1751.

What is Issac Bolanos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Issac Bolanos was last updated on January 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.