Individual
ELIZABETH Y BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BISSONNET ST STE 100, HOUSTON, TX 77005-2153
(713) 662-2777
(713) 665-6227
Mailing address
3400 BISSONNET ST STE 100, HOUSTON, TX 77005-2153
(713) 662-2777
(713) 665-6227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114662303
—
TX
01
—
89Y982
BLUE CROSS BLUE SHIELD
TX
01
—
P00195922
RAILROAD MEDICARE
TX
Enumeration date
09/28/2006
Last updated
11/22/2010
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