Individual
DR. JACLYN ANN BOOZALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Mailing address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19826
RI
207R00000X
Internal Medicine Physician
Primary
U2442
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
U2442
TX
Other
Enumeration date
05/07/2020
Last updated
09/05/2025
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