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Individual
DR. TRENT RUSSELL BOYKO
Active
Individual
DR. TRENT RUSSELL BOYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K9736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85155Y
BCBS
TX
01
—
85166Y
BCBS
TX
01
—
8A0460
BCBS
TX
Enumeration date
12/13/2005
Last updated
11/08/2007
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