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NPI Code Detail

MEDICARE: JAMES BOYSEN, M.D., PA

MEDICARE: JAMES BOYSEN, M.D., PA
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
1207RP1001XPulmonary Disease PhysicianG6456TX

General Provider Information

NPI Number : 1902163793
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES BOYSEN, M.D., PA
Provider Business Mailing Address
First Line : PO BOX 163166
Second Line :
City : AUSTIN
State : TX
Zip : 78716-3166
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1106 W DITTMAR RD
Second Line :
City : AUSTIN
State : TX
Zip : 78745-6328
Country : US
Telephone Number : 512-422-5326
Fax Number : 512-462-6709
Authorized Official
Title or Position : PRESIDENT
Name : JAMES BOYSEN
Credential : M.D.
Telephone Number : 512-422-5326
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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