Individual
HENRY JULIUS BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 HERRING AVENUE, WACO, TX 76708
(254) 202-2000
(254) 753-6229
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J5143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102082801
—
TX
05
—
102082803
—
TX
Enumeration date
07/11/2006
Last updated
05/13/2008
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