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James Boonstra

NPI 1558641845 · on the registry since 2011 · sole proprietor

Practice

Address
619 Court Rdg
Tyler, TX 75703
Phone
(903) 245-0671

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-18

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