| Gerard W Boynton M.d. Pa Psc | |
|
3301 S Alameda St Suite 212 Corpus Christi TX 78411-1882 | |
| (361) 452-2480 | |
| (361) 452-2484 |
| Full Name | Gerard W Boynton M.d. Pa Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 S Alameda St, Corpus Christi, Texas |
| Authorized Official Name and Position | Gerard W Boynton (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3614522480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard W Boynton M.d. Pa Psc 3301 S Alameda St Suite 212 Corpus Christi TX 78411-1882 Ph: (361) 452-2480 | Gerard W Boynton M.d. Pa Psc 3301 S Alameda St Suite 212 Corpus Christi TX 78411-1882 Ph: (361) 452-2480 |
| NPI Number | 1346562410 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 5496883324 |
|---|---|
| Medicare Enrollment ID | O20100513000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346562410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerard W Boynton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902914179 PECOS PAC ID: 5597801266 Enrollment ID: I20100512001027 |
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