Individual
DR. DAVID LOUIS BOSWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5644
TX
208D00000X
General Practice Physician
M5644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204228501
—
TX
Enumeration date
07/12/2007
Last updated
02/13/2024
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