Organization
ROBERT L. BOYNE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEON BOYNE M.D. (OWNER)
(903) 596-3808
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 912, TYLER, TX 75701-1955
(903) 596-3808
(903) 596-3814
Mailing address
700 OLYMPIC PLAZA CIR STE 912, TYLER, TX 75701-1955
(903) 596-3808
(903) 596-3815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154300101
—
TX
Enumeration date
10/11/2006
Last updated
11/20/2014
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