Individual
MRS. CANDACE B BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 942-5733
(214) 942-6115
Mailing address
611 COMANCHE TRL, MURPHY, TX 75094-3612
(972) 825-3241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283341001
—
TX
01
—
P01020326
RAILROAD
TX
Enumeration date
07/25/2010
Last updated
06/05/2012
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