Search › Texas › 207R00000X
Jaclyn Boozalis, MD
NPI 1922620418 · on the registry since 2020
Practice
- Address
- 1108 Lavaca St Ste 110-320
Austin, TX 78701 - Phone
- (512) 477-4088
- Fax
- (512) 482-0390
- Organisation at this address
- Central Texas Neuromonitoring, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Additional practice sites
- 1500 Red River, Austin, TX
- 593 Eddy St, Providence, RI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RH0002X
207R00000X - Licence states on file
- TX, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-05
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