Provider Demographics
NPI:1376680777
Name:BOSS, ROBERT AARON (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:AARON
Last Name:BOSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16125 CAIRNWAY DR
Mailing Address - Street 2:116
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3556
Mailing Address - Country:US
Mailing Address - Phone:281-463-3223
Mailing Address - Fax:281-463-6218
Practice Address - Street 1:16125 CAIRNWAY DR
Practice Address - Street 2:116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3556
Practice Address - Country:US
Practice Address - Phone:281-463-3223
Practice Address - Fax:281-463-6218
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2618111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor