Corey Alexander Boltz, DO Valid NPI

Individual provider · Military Health Care Provider · Fort Sam Houston, TX

NPI

1093520728

Type

Individual (Type 1)

Primary specialty

Military Health Care Provider

Specialty group

Other Service Providers

Taxonomy code

171000000X

License number

BP10094933 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2025-02-10

Last updated

2025-12-30