Doctor Name: | LARRY C BOYD |
NPI Number: | 1801877642 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | J6882 |
Business Practice Address: | 387 West Ih 10 Fort Stockton, TX - 797352700 |
Business Phone Number: | 4323362058 |
Business Fax Number: | 4323364511 |
Mailing Address: | 387 West Ih 10, FORT STOCKTON |
State: | TX |
Postal Code: | 797352700 |
Phone Number: | 4323362058 |
Fax Number: | 4323364511 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J6882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |