Paul Boettcher

NPI 1457715260 · on the registry since 2016

Practice

Address: 1111 S Main St
Suite 210
Grapevine, TX 76051
Phone: (214) 563-5909
Organisation at this address: Todd Gjerdevig
Unique Pathways
Elite Care Physicians
Allcare Physicians Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: SD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-05

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