Anselmo Boaventura
NPI 1689255010 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6100 Browning Dr Apt 7203
North Richland Hills, TX 76180 - Phone
- (516) 360-8323
- Organisation at this address
- Tebotech
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-17
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