Clark Abilio Boyer in Weslaco - Specialist

Clark Abilio Boyer - NPI 1730287483

Clark Abilio Boyer is a Specialist in Weslaco, Texas. Clark Abilio Boyer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clark Abilio Boyer is 1730287483. The last update date is 2015-02-26.

Clark Abilio Boyer's current location address is 1413 Tanglewood Ln, Weslaco, Texas. You can contact this provider via phone number 9564648600 and fax number 9564648601. The mailing address for Clark Abilio Boyer is 1413 Tanglewood Ln, Weslaco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Clark Abilio Boyer
Address 1413 Tanglewood Ln, Weslaco, Texas
Phone Number 9564648600
Fax Number 9564648601
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1730287483
Provider Enumeration Date 2006-09-20
Last Updated Date 2015-02-26

Provider Mailing Address Detail

Address 1413 Tanglewood Ln
City Weslaco
State Texas (TX)
Post Code 785963407
Phone Number 9564648600
Fax Number 9564648601

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No M0019
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4334335 TX BLUE LINK NUMBER (BC/BS)
M0019 TX LICENCE
175709801 TX --
8R1261 TX BC/BS IDENTIFIER

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FAQs about Clark Abilio Boyer

What is the unique identifier code issued to Clark Abilio Boyer by the Centers for Medicare & Medicaid Services?

The Clark Abilio Boyer has been assigned the NPI (National Provider Identifier) 1730287483. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Clark Abilio Boyer is physically located?

The Clark Abilio Boyer is physically situated at the following address: 1413 Tanglewood Ln, Weslaco, TX, 785963407.

What is Clark Abilio Boyer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Clark Abilio Boyer is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Clark Abilio Boyer receive the assignment of its 1730287483 from the Centers for Medicare & Medicaid Services?

The Clark Abilio Boyer was issued its 1730287483 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date were the details related to Clark Abilio Boyer most recently updated or revised?

The information pertaining to Clark Abilio Boyer, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-26.

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