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NPI Code Detail

MEDICARE: DR. JOSEPH HOUSTON BOSLEY MD

MEDICARE:  DR. JOSEPH HOUSTON BOSLEY  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
1207Y00000XOtolaryngology Physician06657RLA

General Provider Information

NPI Number : 1619960119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH HOUSTON BOSLEY MD
Provider Business Mailing Address
First Line : 2533 BERT KOUNS INDUSTRIAL LOOP
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-3158
Country : US
Telephone Number : 318-688-8801
Fax Number : 318-688-8861
Provider Business Practice Location Address
First Line : 2533 BERT KOUNS INDUSTRIAL LOOP
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-3158
Country : US
Telephone Number : 318-688-8801
Fax Number : 318-688-8861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 09/12/2025

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Directions to “ DR. JOSEPH HOUSTON BOSLEY MD” Practice Location

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