Individual
DR. JAMES LEE BOYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 WEST. DITTMAR, TEXAS NEURO REHAB CENTER, AUSTIN, TX 78745
(512) 442-5326
(512) 462-6709
Mailing address
8708 MENDOCINO DRIVE, AUSTIN, TX 78735
(512) 422-5326
(512) 462-6709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G6456
TX
207R00000X
Internal Medicine Physician
Primary
G-6456
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G-6456
TX
207RP1001X
Pulmonary Disease Physician
G-6456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133939203
—
TX
05
—
133939208
—
TX
Enumeration date
06/10/2005
Last updated
07/12/2012
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