Carly Jay Boone in San Antonio - Physician Assistant
Carly Jay Boone - NPI 1801052030
Carly Jay Boone is a Physician Assistant in San Antonio, Texas. Carly Jay Boone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carly Jay Boone is 1801052030. The last update date is 2015-02-09.
Carly Jay Boone's current location address is 2961 Mossrock, San Antonio, Texas. You can contact this provider via phone number 2107314800 and fax number 2107314810. The mailing address for Carly Jay Boone is 2961 Mossrock, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carly Jay Boone |
|---|---|
| Address | 2961 Mossrock, San Antonio, Texas |
| Phone Number | 2107314800 |
| Fax Number | 2107314810 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801052030 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2015-02-09 |
Provider Mailing Address Detail
| Address | 2961 Mossrock |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782305119 |
| Phone Number | 2107314800 |
| Fax Number | 2107314810 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05842 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA05842 | TX | PHYSCICIAN ASSISTANT LICENSE | |
| 1082631 | TX | CERTIFIED PAC |
Post Comment/ Review Below
What is the unique identifier code issued to Carly Jay Boone by the Centers for Medicare & Medicaid Services (CMS)?
The Carly Jay Boone has been assigned the NPI (National Provider Identifier) 1801052030. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Carly Jay Boone is geographically located?
The Carly Jay Boone is physically situated at the following location: 2961 Mossrock, San Antonio, TX, 782305119.
What is Carly Jay Boone's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carly Jay Boone is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1801052030 assigned to Carly Jay Boone?
The Carly Jay Boone was issued its 1801052030 on 2008-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carly Jay Boone most recently updated or revised?
The information pertaining to Carly Jay Boone, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-09.
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