| Benjamin Daniel Boynton Phd Pllc | |
|
1810 Shiloh Rd Suite 801 Tyler TX 75703-2419 | |
| (903) 593-6355 | |
| Not Available |
| Full Name | Benjamin Daniel Boynton Phd Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1810 Shiloh Rd, Tyler, Texas |
| Authorized Official Name and Position | Benjamin D Boynton (OWNER) |
| Authorized Official Contact | 9033306166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Daniel Boynton Phd Pllc 2512 Melody Ln Tyler TX 75701-6410 Ph: (903) 330-6166 | Benjamin Daniel Boynton Phd Pllc 1810 Shiloh Rd Suite 801 Tyler TX 75703-2419 Ph: (903) 593-6355 |
| NPI Number | 1912361841 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912361841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34827 (Texas) | Primary |
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