P Praxis·MD
● Active Type 1 · Individual

Gwendolyn Bolden

Rehabilitation Practitioner·San Antonio, TX· NPI 1659785129 · Enumerated 2014 · 11 years on NPI
Bolden is 1 of 5 rehabilitation practitioner providers in San Antonio and 1 of 85 in Texas.
NPI age
11 years
Enumerated 2014-06-12
Primary specialty
Rehabilitation Practitioner
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-06-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 85 active rehabilitation practitioner providers in Texas.

NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
4615 Walzem Road, 207
San Antonio, TX 78218
📞 2108628211
Mailing address
7326 Mystery Rdg
Converse, TX 781092727
📞 2108628211

Specialties

  • Rehabilitation Practitioner Primary
    A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
    taxonomy 225400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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