MEDICARE: DR. JAMES A BOYD JR. M.D.

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
1	207Q00000X	Family Medicine Physician	J0445	TX
2	207Q00000X	Family Medicine Physician	4301052929	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	080173484	OTHER	TX	BOYD RRB MEDICARE UNIT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	758599	OTHER	TX	BOYD FH PPO
2	81342S	OTHER	TX	BOYD BLUE PPO
3	742690907	OTHER	TX	BOYD ST. D PPO
4	81342S	OTHER	TN	BOYD BLUE HMO
6	5670504	OTHER	TX	BOYD AETNA HMO
7	6632586003	OTHER	TX	BOYD CIGNA PPO
8	6632586002	OTHER	TX	BOYD CIGNA HMO
9	108993100	OTHER	TX	BOYD PHCS PPO
10	5670504	OTHER	TX	BOYD AETNA PPO

General Provider Information

NPI Number	:	1629073929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A BOYD JR. M.D.

Provider Business Mailing Address
First Line	:	7200 WYOMING SPGS
Second Line	:	STE 600
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	512-244-2090

Provider Business Practice Location Address
First Line	:	7200 WYOMING SPGS
Second Line	:	STE 600
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	512-244-2090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/28/2010

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Directions to “ DR. JAMES A BOYD JR. M.D.” Practice Location

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