Boster, Stephen Ray

Boster, Stephen Ray is an individual health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Boster, Stephen Ray can be contacted via phone (325) 657-5222.

Contact Information

Primary practice address
120 E Harris Ave San Angelo TX 76903-5904
Phone: (325) 657-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E8348 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X E8348 Texas

Profile Details

NPI number 1649242975
LBN Legal business name Boster, Stephen Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649242975 NPPES
Texas MEDICAID 133676008
Texas Other 0009MP

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