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Individual

DR. CLARK ABILIO BOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
702 E EXPRESSWAY 83 STE A3, DONNA, TX 78537-2742
(956) 464-8600
(956) 464-8601
Mailing address
1413 TANGLEWOOD LN, WESLACO, TX 78596-3407
(956) 464-8600
(956) 464-8601

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M0019
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175709801
TX
01
4334335
BLUE LINK NUMBER (BC/BS)
TX
01
8R1261
BC/BS IDENTIFIER
TX
01
M0019
LICENCE
TX
Enumeration date
09/20/2006
Last updated
02/26/2015
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