Provider Demographics
NPI:1073617247
Name:STUART, BOYCE (D C)
Entity Type:Individual
Prefix:
First Name:BOYCE
Middle Name:
Last Name:STUART
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 WILLIAMS DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-3660
Mailing Address - Country:US
Mailing Address - Phone:512-868-8180
Mailing Address - Fax:512-868-8180
Practice Address - Street 1:3613 WILLIAMS DR STE 904
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1375
Practice Address - Country:US
Practice Address - Phone:512-863-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor