| Joseph S Boyle Dds Pa | |
|
7718 Louis Pasteur Ct Ste 101 San Antonio TX 78229-3654 | |
| (210) 614-8866 | |
| (210) 614-0508 |
| Full Name | Joseph S Boyle Dds Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 7718 Louis Pasteur Ct Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Joseph S Boyle (OWNER) |
| Authorized Official Contact | 2106148866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph S Boyle Dds Pa 7718 Louis Pasteur Ct Ste 101 San Antonio TX 78229-3654 Ph: (210) 614-8866 | Joseph S Boyle Dds Pa 7718 Louis Pasteur Ct Ste 101 San Antonio TX 78229-3654 Ph: (210) 614-8866 |
| NPI Number | 1194374801 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 7214986199 |
|---|---|
| Medicare Enrollment ID | O20050118000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194374801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
| Provider Name | Joseph Boyle |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235344854 PECOS PAC ID: 4587613476 Enrollment ID: I20050118000775 |
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