Individual
JAMES H. BOEHMLER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 8TH AVE STE 265, FORT WORTH, TX 76104-4124
(682) 200-8580
(682) 200-8581
Mailing address
8601 CANTERA WAY, BENBROOK, TX 76126-1133
(682) 200-8580
(682) 200-8581
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35091519
OH
208200000X
Plastic Surgery Physician
M6054
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M6054
TX
Other
Enumeration date
07/19/2007
Last updated
03/16/2022
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