| Boerne Mens Clinic | |
|
138 Tx-46 Boerne TX 78006 | |
| (713) 551-3455 | |
| Not Available |
| Full Name | Boerne Mens Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 138 Tx-46, Boerne, Texas |
| Authorized Official Name and Position | Daniel David Waite (MANAGER) |
| Authorized Official Contact | 4696825323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boerne Mens Clinic 138 Tx 46 W Boerne TX 76008-3644 Ph: (830) 446-5051 | Boerne Mens Clinic 138 Tx-46 Boerne TX 78006 Ph: (713) 551-3455 |
| NPI Number | 1982218517 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982218517 | NPI | - | NPPES |
| 1477547099 | Other | TX | DR. LIVINGSTON, MD NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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