Individual
DEBORAH L BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5414 S BROADWAY AVE, TYLER, TX 75703-1335
(903) 581-1601
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J5974
TX
207Q00000X
Family Medicine Physician
Primary
J5974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042GK
BCBS
TX
05
—
128814403
—
TX
05
—
128814404
—
TX
05
—
128814410
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
8BP162
BCBS
TX
01
—
8EX136
BCBS
TX
Enumeration date
06/06/2006
Last updated
04/01/2016
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