Carlos Ranon Bolano, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-3651 Issued in TX

Practice address

2925 W T C Jester Blvd
Suite #1 (Kids'NN Teens Clinics)
Houston, TX 77018-7061

Phone

(713) 681-7334

Fax

(713) 681-8520

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366598500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15702 MISTY HEATH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847550",
            "telephone_number": "281-858-7650",
            "fax_number": "281-858-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W T C JESTER BLVD",
            "address_2": "SUITE #1 (KIDS'NN TEENS CLINICS)",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770187061",
            "telephone_number": "713-681-7334",
            "fax_number": "713-681-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANO",
        "first_name": "CARLOS",
        "middle_name": "RANON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E-3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Bokhari, MD
• Michael Ibraam Boktour, DDS
• Funmilayo Eniola Bola-Raji, NP
• Robert J Boland, MD
• Trina I Boland, DIETITIAN
• Julie Bolanos, LMSW
• Mariela Bolanos
• Nora Bolanos
• Manoli Bolar, PT
• Austin Bolay

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.