Individual
DR. TERESA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 E. MLK JR. BLVD., AUSTIN, TX 78702
(512) 334-2600
(512) 623-5290
Mailing address
9715 BURNET RD, STE 200 BLDG 7, AUSTIN, TX 78758-5215
(512) 334-2654
(512) 623-5290
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
51483
MA
2085R0001X
Radiation Oncology Physician
Primary
K8023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184608-04
—
TX
01
—
1184608-05
CSHCN
TX
01
—
8B7335
BLUE SHIELD
TX
01
—
920006607
RR/MEDICARE
TX
Enumeration date
03/24/2006
Last updated
11/13/2015
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