Provider Demographics
NPI:1568465615
Name:BOYD, NOEL C (MD)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:C
Last Name:BOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23802 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1510
Mailing Address - Country:US
Mailing Address - Phone:281-312-5400
Mailing Address - Fax:281-312-5440
Practice Address - Street 1:23802 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1510
Practice Address - Country:US
Practice Address - Phone:281-312-5400
Practice Address - Fax:281-312-5440
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4259207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153989203OtherMEDICAID HUMBLE
TX153989204OtherMEDICAID KINGWOOD
TX8V6061OtherBLUE CROSS BLUE SHIELD
TX8V6061OtherBLUE CROSS BLUE SHIELD
TXH36230Medicare UPIN