Provider Demographics
NPI:1295027910
Name:BOSLEY, RAWN EDWARD (MD)
Entity type:Individual
Prefix:MR
First Name:RAWN
Middle Name:EDWARD
Last Name:BOSLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:1042 TEXAN TRL STE 200
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3703
Practice Address - Country:US
Practice Address - Phone:972-505-2551
Practice Address - Fax:972-521-3240
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2024-06-21
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Provider Licenses
StateLicense IDTaxonomies
TXR1001207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery