Individual
DR. RUSSELL BOATWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 HARTLEE CT, DENTON, TX 76208-3544
(940) 387-4847
Mailing address
2704 HARTLEE CT, DENTON, TX 76208-3544
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0804
TX
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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