Mark Boston, MD | |
333 N Santa Rosa St, San Antonio, TX 78207-3108 | |
(210) 704-4039 | |
Not Available |
Full Name | Mark Boston |
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Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 333 N Santa Rosa St, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023000601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 23534 (Arizona) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | M6056 (Texas) | Primary |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
Mailing Address | Practice Location Address |
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Mark Boston, MD 2200 Bergquist Dr, 59th Sss/sgoso, Ste 100, Lackland Afb, TX 78236-9907 Ph: (210) 292-5623 | Mark Boston, MD 333 N Santa Rosa St, San Antonio, TX 78207-3108 Ph: (210) 704-4039 |
Dr. Wasyl Szeremeta, MD MBA Otolaryngology Medicare: Medicare Enrolled Practice Location: 16723 Huebner Rd, San Antonio, TX 78248 Phone: 210-644-3600 | |
Charles P Biediger, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 19026 Stone Oak Pkwy, Suite 110, San Antonio, TX 78258 Phone: 210-545-0404 Fax: 210-614-1003 | |
Dr. Nici Eddy Bothwell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300 | |
Nathan Wayne Hales, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229 Phone: 210-616-0283 Fax: 210-616-0071 | |
Dr. Viet Hoai Pham, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4775 Hamilton Wolfe #1, Ear, Nose, And Throat Clinics Of San Antonio, San Antonio, TX 78229 Phone: 210-258-5359 | |
Mr. Andamo A Guillaume, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Drive, Suite 618, San Antonio, TX 78217 Phone: 210-614-5600 Fax: 210-614-8963 |