Individual
PAUL JOSHUA BOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-PC
Contact information
Practice address
2020 W STATE HIGHWAY 114, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Mailing address
2020 W STATE HIGHWAY 114, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20072439
TX
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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