| Doctor Name: | DR. JUSTIN EDWARD BOATSMAN |
| NPI Number: | 1871797472 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | P2598 |
| Business Practice Address: | 8401 Datapoint Dr Ste 600 San Antonio, TX - 782295907 |
| Business Phone Number: | 2106167700 |
| Business Fax Number: | 2106167709 |
| Mailing Address: | 8401 Datapoint, Suite 600, P. O. Box 29441 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782290441 |
| Phone Number: | 2106167796 |
| Fax Number: | 2106167799 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | P2598 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |