Provider Demographics
NPI:1184076408
Name:BOYD HOUSE CALLS
Entity type:Organization
Organization Name:BOYD HOUSE CALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CO FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMIT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:254-640-0131
Mailing Address - Street 1:14051 SHADOW GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7516
Mailing Address - Country:US
Mailing Address - Phone:254-640-8345
Mailing Address - Fax:
Practice Address - Street 1:14051 SHADOW GROVE CIR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-7516
Practice Address - Country:US
Practice Address - Phone:254-640-8345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126452363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty