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NPI Code Detail

MEDICARE: DR. DEBORAH SUE BOYER MD

MEDICARE: DR. DEBORAH SUE BOYER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianH5530TX

General Provider Information

NPI Number : 1124132584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH SUE BOYER MD
Provider Business Mailing Address
First Line : 4312 HIGH MESA DR
Second Line :
City : PLANO
State : TX
Zip : 75093-3253
Country : US
Telephone Number : 972-867-9212
Fax Number :
Provider Business Practice Location Address
First Line : 7 MEDICAL PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75234-7823
Country : US
Telephone Number : 972-888-7265
Fax Number : 214-712-2487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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