New Boston Medical Group LLP

NPI #1871571737 in New Boston, Texas

Provider Information

NPI Number
1871571737
Entity Type
Organization
Organization Name
New Boston Medical Group LLP
Subpart
Yes (part of a larger organization)
Parent Organization
NEW BOSTON MEDICAL GROUP LLP
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 2, 2006
Last Updated
Apr 13, 2011

Practice Location

Address
114 W US HIGHWAY 82
State
Texas
ZIP Code
75570-2804
Phone
(903) 628-0422

Authorized Official

Name
DONALD STRATTON DOUGLAS, M.D.
Title
SUPERVISING PHYSICIAN
Phone
(903) 628-0422

Specialties & Taxonomy Codes

Specialty
Specialist
Physician Assistant - MedicalMedical
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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