Mr Bruce Boswell, LPC | |
4925 Everhart Rd Ste 103, Corpus Christi, TX 78411 | |
(361) 806-2600 | |
(361) 806-2624 |
Full Name | Mr Bruce Boswell |
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Gender | Male |
Speciality | Counselor |
Location | 4925 Everhart Rd Ste 103, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255416574 | NPI | - | NPPES |
1509028-02 | Medicaid | TX | |
150902801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 17545 (Texas) | Secondary |
101Y00000X | Counselor | 17545 (Texas) | Primary |
Entity Name | Bruce J. Boswell, Lpc, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851953590 PECOS PAC ID: 0042653404 Enrollment ID: O20240213002145 |
Mailing Address | Practice Location Address |
---|---|
Mr Bruce Boswell, LPC Po Box 271416, Corpus Christi, TX 78427-1416 Ph: (361) 334-1136 | Mr Bruce Boswell, LPC 4925 Everhart Rd Ste 103, Corpus Christi, TX 78411 Ph: (361) 806-2600 |
Ms. D. Charlene Hackett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7252 Mansions Dr, Corpus Christi, TX 78414 Phone: 360-304-0392 | |
Robert Keith Martin, BA LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 S Alameda, Ste 150, Corpus Christi, TX 78404 Phone: 361-854-9199 Fax: 361-888-9250 | |
Mrs. Edra B Saavedra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Waco St, Corpus Christi, TX 78401 Phone: 361-886-1484 | |
Brenda Kay Brown, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 S Alameda St, Corpus Christi, TX 78411 Phone: 361-855-2710 Fax: 361-855-4204 | |
Mrs. Raquel Lobaina, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 Coody Ln, Corpus Christi, TX 78413 Phone: 305-799-9609 | |
Mr. Robert Reed Berlin Jr., M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3833 S Staples St, S-213, Corpus Christi, TX 78411 Phone: 361-945-5840 | |
Jaime Tuggle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Texan Trl Ste 210, Corpus Christi, TX 78411 Phone: 361-654-0204 Fax: 361-654-0207 |