# IRA BOSWELL DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245619063
- **Authorized official:** IRA K BOSWELL D.O. (PRESIDENT)
- **Authorized official phone:** (817) 284-9850

## Contact information

- **Practice address:** 2301 MARSH LN STE 200, PLANO, TX 75093-8497
- **Practice address phone:** (817) 284-9850
- **Practice address fax:** (817) 284-9859
- **Mailing address:** 5706 E MOCKINGBIRD LN STE 115-33, DALLAS, TX 75206-5460
- **Mailing address phone:** (817) 284-9850
- **Mailing address fax:** (817) 284-9859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 03/31/2025
