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Organization

J HOUSTON BOSLEY,M.D. A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH HOUSTON BOSLEY (OWNER)
(318) 688-8801
Entity
Organization

Contact information

Practice address
2533 BERT KOUNS INDUSTRIAL LOOP, SUITE 104, SHREVEPORT, LA 71118-3158
(318) 688-8801
(318) 688-8861
Mailing address
2533 BERT KOUNS INDUSTRIAL LOOP, SUITE 104, SHREVEPORT, LA 71118-3158
(318) 688-8801
(318) 688-8861

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
06657R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1799611
LA
Enumeration date
04/04/2007
Last updated
06/17/2008
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