Albert Boyd Md Pa | |
941 York Drive Suite 200 Desoto TX 75115-2066 | |
(972) 296-7500 | |
(972) 296-7588 |
Full Name | Albert Boyd Md Pa |
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Speciality | Family Medicine |
Location | 941 York Drive, Desoto, Texas |
Authorized Official Name and Position | Albert Boyd (MD/CEO) |
Authorized Official Contact | 9722967500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Albert Boyd Md Pa 941 York Drive Suite 200 Desoto TX 75115-2066 Ph: (972) 296-7500 | Albert Boyd Md Pa 941 York Drive Suite 200 Desoto TX 75115-2066 Ph: (972) 296-7500 |
NPI Number | 1336329150 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/13/2007 |
Medicare PECOS PAC ID | 7416860333 |
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Medicare Enrollment ID | O20040206000210 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336329150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L7315 (Texas) | Primary |
Provider Name | Albert O Boyd |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679548721 PECOS PAC ID: 8224941158 Enrollment ID: I20031107000114 |
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