Individual
WILLIAM M BOUSHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6065 MONTANA AVE, BLDG A STE 6, EL PASO, TX 79925-1835
(915) 881-1900
(915) 771-9345
Mailing address
3850 FOOTHILLS RD, STE 9, LAS CRUCES, NM 88011-4632
(505) 532-8800
(505) 532-5920
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044859901
—
TX
Enumeration date
06/23/2006
Last updated
08/11/2025
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