Organization
NEW BOSTON MEDICAL GROUP LLP
Active
Parent organization
NEW BOSTON MEDICAL GROUP LLP
Other names
New Boston Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW BOSTON MEDICAL GROUP LLP
Authorized official
DONALD STRATTON DOUGLAS M.D. (SUPERVISING PHYSICIAN)
(903) 628-0422
Entity
Organization
Contact information
Practice address
114 W US HIGHWAY 82, NEW BOSTON, TX 75570-2804
(903) 628-0422
(903) 628-0448
Mailing address
114 W US HIGHWAY 82, NEW BOSTON, TX 75570-2804
(903) 628-0422
(903) 628-0448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K0219
TX
174400000X
Specialist
K90258
TX
363AM0700X
Medical Physician Assistant
PA03545
TX
363L00000X
Nurse Practitioner
Primary
660180
TX
363LF0000X
Family Nurse Practitioner
564395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165646401
—
TX
Enumeration date
01/02/2006
Last updated
04/13/2011
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