Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Issac Isaiah Bolanos, PA

Individual provider Medical Physician Assistant · NPI 1407193840

Issac Isaiah Bolanos, PA is a Medical Physician Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1313 Red River St Ste 200
Austin, TX 78701-1943
Phone: (512) 391-1751
Fax: (512) 391-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA08063 (TX)

Record details

NPI number1407193840
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2013
Last updated in NPPESJanuary 4, 2013

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