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Organization
MICAH BOSLEY MD, PLLC
Active
Organization
MICAH BOSLEY MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BOSLEY MD (OWNER)
(281) 272-1743
Entity
Organization
Contact information
Practice address
102 PIPING ROCK DR, MONTGOMERY, TX 77356-5860
(281) 272-1743
(281) 272-1758
Mailing address
102 PIPING ROCK DR, MONTGOMERY, TX 77356-5860
(281) 272-1743
(281) 272-1758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q1797
TX
Other
Enumeration date
08/26/2017
Last updated
04/25/2018
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