IRA KAEO BOSWELL

DALLAS, TX
NPI1346534757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  Q3645)
Enumeration Date2011-06-02
Last Update Date2022-01-26
Business Address
IRA KAEO BOSWELL D.O.
5706 E MOCKINGBIRD LN STE 115-33
DALLAS, TX 75206-5460
Phone number: 817-284-9850
Mailing Address
IRA KAEO BOSWELL D.O.
PO BOX 678135
DALLAS, TX 75267-8135
Phone number: 469-818-0595
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