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Individual

BRENT W BOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4012 SPRING HOLLOW ST, COLLEYVILLE, TX 76034-4604
(409) 880-5800
Mailing address
4012 SPRING HOLLOW ST, COLLEYVILLE, TX 76034-4604
(409) 880-5800

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F9223
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131027803
TX
01
160028469
RAILROAD MEDICARE
TX
Enumeration date
08/26/2005
Last updated
02/21/2022
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