Healthcare Provider Details

I. General information

NPI: 1538513916
Provider Name (Legal Business Name): NATHAN BOES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 FRISCO ST STE 200
FRISCO TX
75033-2033
US

IV. Provider business mailing address

11000 FRISCO ST STE 200
FRISCO TX
75033-2033
US

V. Phone/Fax

Practice location:
  • Phone: 469-935-7775
  • Fax: 469-935-4555
Mailing address:
  • Phone: 469-935-7775
  • Fax: 469-935-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberS0635
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: