Provider Demographics
NPI:1114564085
Name:MICAH BOYER MD
Entity Type:Organization
Organization Name:MICAH BOYER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-584-3488
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:AL
Mailing Address - Zip Code:35142-0067
Mailing Address - Country:US
Mailing Address - Phone:888-212-4243
Mailing Address - Fax:888-832-0502
Practice Address - Street 1:ENCOMPASS HEALTH REHABILITATION HOSPITAL
Practice Address - Street 2:3901 ARMORY RD
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302
Practice Address - Country:US
Practice Address - Phone:806-584-3488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty