Provider Demographics
NPI:1558662486
Name:JAMES F BOYNTON, MD, PA
Entity Type:Organization
Organization Name:JAMES F BOYNTON, MD, PA
Other - Org Name:BOYNTON PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:BOYNTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-800-6060
Mailing Address - Street 1:5542 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2308
Mailing Address - Country:US
Mailing Address - Phone:713-800-6060
Mailing Address - Fax:
Practice Address - Street 1:1900 SAINT JAMES PL STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4125
Practice Address - Country:US
Practice Address - Phone:713-800-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3587208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty