| Doctor Name: | DR. DAVID LOUIS BOSWELL |
| NPI Number: | 1144429879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | M5644 |
| Business Practice Address: | 120 E Harris Ave San Angelo, TX - 769035904 |
| Business Phone Number: | 3256536741 |
| Business Fax Number: | |
| Mailing Address: | Po Box 22000, SAN ANGELO |
| State: | TX |
| Postal Code: | 769027200 |
| Phone Number: | 3256581511 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | M5644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |