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Jacob Boaz
NPI 1164291449 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1910 Se Loop 323
#382
Tyler, TX 75701 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas