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BOERNE MENS CLINIC NPI 1982218517


NPI Information

NPI: 1982218517
Provider Name: BOERNE MENS CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2239824

Address:
138 TX-46
BOERNE, TX
ZIP 78006
Phone: (713) 551-3455
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BOERNE MENS CLINIC is a family medicine in Boerne, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOERNE MENS CLINIC NPI is 1982218517. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

138 TX-46
BOERNE, TX
ZIP 78006
Phone: (713) 551-3455

The provider's authorized official is Daniel David Waite .
The authorized official title is Manager and has the following contact phone number (469) 682-5323.

The CLIA number assigned to this NPI record is 45D2239824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 8/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11477547099OTHERTEXASDR. LIVINGSTON, MD NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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