Provider Demographics
NPI:1629073929
Name:BOYD, JAMES A JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:BOYD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7200 WYOMING SPGS
Mailing Address - Street 2:STE 600
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4305
Mailing Address - Country:US
Mailing Address - Phone:512-244-1995
Mailing Address - Fax:512-244-2090
Practice Address - Street 1:7200 WYOMING SPGS
Practice Address - Street 2:STE 600
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4305
Practice Address - Country:US
Practice Address - Phone:512-244-1995
Practice Address - Fax:512-244-2090
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2010-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0445207Q00000X
MI4301052929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX758599OtherBOYD FH PPO
TX81342SOtherBOYD BLUE PPO
TX742690907OtherBOYD ST. D PPO
TN81342SOtherBOYD BLUE HMO
TX080173484OtherBOYD RRB MEDICARE UNIT
TX5670504OtherBOYD AETNA HMO
TX6632586003OtherBOYD CIGNA PPO
TX6632586002OtherBOYD CIGNA HMO
TX108993100OtherBOYD PHCS PPO
TX5670504OtherBOYD AETNA PPO
TX758599OtherBOYD FH PPO
TX8354N0Medicare ID - Type UnspecifiedBOYD MEDICARE