Individual
JULIE MARIE BOYTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
1737 BRIARCREST DR 14, BRYAN, TX 77802-2739
(979) 776-4777
(979) 776-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
686777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191904502
—
TX
05
—
2104039
—
LA
01
—
P00821827
RAILROAD MEDICARE
TX
Enumeration date
09/18/2007
Last updated
07/07/2015
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