Individual
MR. DALLAS I BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 235-7537
Mailing address
3000 UNITED FOUNDERS BLVD STE 103, OKLAHOMA CITY, OK 73112-4294
(405) 810-5032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
315581
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
DONT NEED ONE
OK
Enumeration date
08/13/2021
Last updated
12/17/2024
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