Micah Bosley Md, Pllc

NPI #1104314285 in Montgomery, Texas

Provider Information

NPI Number: 1104314285
Entity Type: Organization
Organization Name: Micah Bosley Md, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 102 PIPING ROCK DR
City: Montgomery
State: Texas
ZIP Code: 77356-5860
Phone: (281) 272-1743

Authorized Official

Name: MICAH BOSLEY, MD
Title: OWNER
Phone: (806) 252-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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