Individual
DR. JEFFREY MICHAEL BOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4004
(512) 901-3904
Mailing address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4004
(512) 901-3904
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194606301
—
TX
01
—
P00698106
RRMCR
TX
Enumeration date
08/06/2007
Last updated
01/07/2022
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