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Jesse Boutwell, PHYSICIAN ASSISTANT
NPI 1912977117 · on the registry since 2006
Practice
- Address
- 1050 State Highway 16 S
Bandera, TX 78003 - Phone
- (830) 261-0684
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-17
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