Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derrick Paul Bouldin Jr., PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245812320

Mr. Derrick Paul Bouldin Jr., PA-C is a Student in an Organized Health Care Education/Training Program in Fort Sam Houston, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Sam Houston, TX

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PA20425 (TX)

Record details

NPI number1245812320
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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