Organization
BOERNE WOMEN'S CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES SMITH M.D. (OWNER)
(830) 331-9674
Entity
Organization
Contact information
Practice address
124 E BANDERA RD, SUITE 204, BOERNE, TX 78006-2849
(830) 331-9674
(830) 331-9675
Mailing address
124 E BANDERA RD, SUITE 204, BOERNE, TX 78006-2849
(830) 331-9674
(830) 331-9675
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
L2776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689868648
GROUP NPI
TX
Enumeration date
09/04/2007
Last updated
07/31/2008
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