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Search › Texas › 2255A2300X

Mikaela Boham, ATC, ATL

NPI 1588069942 · on the registry since 2014

Practice

Address
6300 Ocean Drive, Unit 5820
Island Hall 179e
Corpus Christi, TX 78412
Phone
(361) 825-2169
Fax
(361) 825-3708
Organisation at this address
Texas A&M Corpus Christi
Tamu-Cc Healthcenter Pharmacy
Texas A&M University Corpus Christi Athletic Training Room
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-28

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