Individual
MR. CHANSE WAYNE BOEHRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-AG
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 242-5924
Mailing address
7050 FM 660, ENNIS, TX 75119-0163
(972) 743-8818
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
745455
TX
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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