Dr Judy Polo Boshart

LBN: Dr Judy Polo Boshart
Dr Judy Polo Boshart is an health care organization with primary practice located at 1601 S Adams St , Fort Worth TX 76104-4410. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Dr Judy Polo Boshart can be contacted via phone (281) 660-9288, or through Boshart, Judy via phone (281) 660-9288.

Contact Information

Primary practice address
1601 S Adams St Fort Worth TX 76104-4410
Phone: (281) 660-9288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boshart, Judy PH D CCC-SLP
Phone: (281) 660-9288

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4410 Oklahoma

Profile Details

NPI number 1124401864
LBN Legal business name Dr Judy Polo Boshart
DBA Doing business as
Authorized official Boshart, Judy PH D CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2015
Last updated Apr 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124401864 NPPES
Texas MEDICAID 208971601

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