Provider Demographics
NPI:1700845070
Name:ESTES, BOYCE L (MD)
Entity Type:Individual
Prefix:DR
First Name:BOYCE
Middle Name:L
Last Name:ESTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7610 STEMMONS FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4231
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:214-630-7293
Practice Address - Street 1:1600 CENTRAL DR
Practice Address - Street 2:#310
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6000
Practice Address - Country:US
Practice Address - Phone:817-267-8470
Practice Address - Fax:817-267-0396
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG7061207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84Y111OtherBCBSTX
TX113895003Medicaid
TX84Y111Medicare PIN
TX100007712Medicare PIN
TX84Y111OtherBCBSTX