Individual
DR. JESSAMY ANNE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8196 WALNUT HILL LN STE 100, DALLAS, TX 75231-7001
(214) 739-4175
(214) 987-4161
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
135497
NC
2085R0001X
Radiation Oncology Physician
Primary
N0657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199319803
—
TX
05
—
199319804
—
TX
01
—
P01582148
RAILROAD MADICARE
TX
Enumeration date
05/02/2008
Last updated
05/12/2022
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