TERRY A BOULWARE

LAS CRUCES, NM
NPI1730112558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NM  MD2005-0138)
Enumeration Date2006-07-07
Last Update Date2007-09-25
Business Address
Dr. TERRY A BOULWARE M.D.
2525 S TELSHOR BLVD BLDG 14, STE 102
LAS CRUCES, NM 88011-5071
Phone number: 505-522-7247
Mailing Address
Dr. TERRY A BOULWARE M.D.
2525 S TELSHOR BLVD BLDG 14, STE 102
LAS CRUCES, NM 88011-5071
Phone number: 505-522-7247