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General NPI Number Information
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NPI Number | 1164482287
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Entity Type | Individual
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Provider Name | TERESA BOYLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 2600 E. MLK JR. BLVD.
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City | AUSTIN
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State | TX
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Zip | 78702
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Country | US
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Telephone | 512-334-2600
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Fax | 512-623-5290
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Provider Business Mailing Address
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Address Line | 9715 BURNET RD STE 200 BLDG 7
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City | AUSTIN
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State | TX
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Zip | 78758-5215
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Country | US
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Telephone | 512-334-2654
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Fax | 512-623-5290
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | K8023
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 51483
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License Number State | MA
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