Provider Demographics
NPI:1821089285
Name:BOEHRER, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:BOEHRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE C860
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2505
Mailing Address - Country:US
Mailing Address - Phone:214-688-0228
Mailing Address - Fax:214-688-1421
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE C860
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:214-688-0228
Practice Address - Fax:214-688-1421
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2008-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5153207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
00560VMedicare ID - Type Unspecified
E22375Medicare UPIN