Provider Demographics
NPI:1487176962
Name:BOLIN, MEAGAN (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:
Last Name:BOLIN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:KAULFUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:16655 SOUTHWEST FWY STE 521
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2329
Mailing Address - Country:US
Mailing Address - Phone:281-382-8606
Mailing Address - Fax:
Practice Address - Street 1:6445 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1502
Practice Address - Country:US
Practice Address - Phone:713-441-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS