Stephen Ray Boster in San Angelo - Undersea And Hyperbaric Medicine

Stephen Ray Boster - NPI 1649242975

Stephen Ray Boster is a Undersea And Hyperbaric Medicine in San Angelo, Texas. Stephen Ray Boster practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for Stephen Ray Boster is 1649242975. The last update date is 2008-04-17.

Stephen Ray Boster's current location address is 611 S Jefferson St, San Angelo, Texas. You can contact this provider via phone number 3256575222. The mailing address for Stephen Ray Boster is 611 S Jefferson St, San Angelo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Ray Boster
Address 611 S Jefferson St, San Angelo, Texas
Phone Number 3256575222
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649242975
Provider Enumeration Date 2006-02-02
Last Updated Date 2008-04-17

Provider Mailing Address Detail

Address 611 S Jefferson St
City San Angelo
State Texas (TX)
Post Code 769014521
Phone Number 3256575222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Undersea And Hyperbaric Medicine
Taxonomy 207Pe0005X
Licence No E8348
Definition:
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
133676008 TX --
0009MP TX BLUECROSSBLUESHIELD

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FAQs about Stephen Ray Boster

What is the unique identification code assigned to Stephen Ray Boster by the Centers for Medicare & Medicaid Services?

The Stephen Ray Boster has been issued the NPI (National Provider Identifier) 1649242975. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Stephen Ray Boster is geographically located?

The Stephen Ray Boster is physically situated at the following location: 611 S Jefferson St, San Angelo, TX, 769014521.

What is Stephen Ray Boster's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen Ray Boster's area of specialization is Undersea And Hyperbaric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Pe0005X.

When did Stephen Ray Boster receive its 1649242975 assignment?

The Stephen Ray Boster was assigned its 1649242975 on 2006-02-02, which is the date when this unique identifier was issued to the organization.

When was the information related to Stephen Ray Boster most recently updated or refreshed?

The details pertaining to the Stephen Ray Boster, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-17.

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