1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL GLEN BOULOS
NPI 1730020967
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 02, 2026
2133 PEPPERRELL ST BLDG 3352, SAN ANTONIO, TX 78236(210) 292-6258(210) 292-6258 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Dr. Michael Glen Boulos NPPES

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

DR. MICHAEL GLEN BOULOS (NPI 1730020967) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1730020967
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL GLEN BOULOS
Location Address2133 PEPPERRELL ST BLDG 3352San Antonio, TX 78236-5313
Mailing Address20214 Vanowen StWinnetka, CA 91306-4310 · (818) 912-2425
Phone(210) 292-6258
Fax(210) 292-6258
Sole ProprietorYes
Enumeration DateApril 2, 2026
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1730020967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2133 PEPPERRELL ST BLDG 3352, San Antonio, TX 78236
Open in Google Maps ↗

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.

DR. MARK DANIEL RYAN D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258
HARRISON GORDNER DMD
Dentist
2133 PEPPERRELL ST BLDG 3352, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258
DR. LARRY JAMES EVANS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-8627
DR. JULIE VAN D.M.D.
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258
VINCENT ARCHER D.M.D.
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0123
DR. ZOE RING DMD
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258
COLTON SHANER
Student in an Organized Health Care Education/Training Program
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-7269
DR. CLIFTON J WRIGHT DDS
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258

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 Michael Boulos's NPI number?

The NPI number for Michael Boulos is 1730020967. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Michael Boulos located?

Michael Boulos practices at 2133 Pepperrell St Bldg 3352, San Antonio, TX 78236. The listed phone number is (210) 292-6258.

What is Michael Boulos'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 Michael Boulos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.