Audra D Boxma PA

NPI #1952621591 in Southlake, Texas

Provider Information

NPI Number
1952621591
Entity Type
Organization
Organization Name
Audra D Boxma PA
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 6, 2010
Last Updated
Jun 6, 2010

Practice Location

Address
700 E SOUTHLAKE BLVD
Address 2
SUITE 190
State
Texas
ZIP Code
76092-6353
Phone
(817) 416-2344

Authorized Official

Name
AUDRA BOXMA, LPC,NCC,CCMHC,CART
Title
CHILD/FAMILY COUNSELOR
Phone
(817) 416-2344

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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