Individual
DR. COLETTE POOLE-BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2200 BERGQUIST DR STE 1, STE 1, LACKLAND AFB, TX 78236-9908
(210) 916-8687
Mailing address
2200 BERGQUIST DR STE 1, STE 1, LACKLAND AFB, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/08/2015
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