Doctor profile · Federal record
Dr. Issac Bolanos, PA
Medical Physician Assistant · Austin, TX
- NPI 1407193840
- 13 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1313 Red River St, Suite 200
Austin, TX 787011943
(512) 391-1751
fax (512) 391-1906
Credentials & registration
- NPI registered
- January 2013 — 13 yrs on file
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Texas #PA08063
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407193840. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 1 | $24.03 |
By nature of payment
Frequently asked questions
What is Dr. Issac Bolanos's medical specialty?
Dr. Issac Bolanos practices Medical Physician Assistant in Austin, TX.
Where does Dr. Issac Bolanos practice?
Dr. Issac Bolanos practices at 1313 Red River St, Austin, TX 787011943. Office phone: 5123911751.
What is Dr. Issac Bolanos's NPI?
Dr. Issac Bolanos's National Provider Identifier (NPI) is 1407193840, issued by NPPES.