| Micah Bosley Md, Pllc | |
|
102 Piping Rock Dr Montgomery TX 77356-5860 | |
| (281) 272-1743 | |
| (281) 272-1758 |
| Full Name | Micah Bosley Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Piping Rock Dr, Montgomery, Texas |
| Authorized Official Name and Position | Micah Bosley (OWNER) |
| Authorized Official Contact | 2812721743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Bosley Md, Pllc 102 Piping Rock Dr Montgomery TX 77356-5860 Ph: (281) 272-1743 | Micah Bosley Md, Pllc 102 Piping Rock Dr Montgomery TX 77356-5860 Ph: (281) 272-1743 |
| NPI Number | 1871010223 |
|---|---|
| Provider Enumeration Date | 08/26/2017 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871010223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q1797 (Texas) | Primary |
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