TIARA ROTER BOQUIREN

AUSTIN, TX
NPI1770290579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA18123)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-11-01
Last Update Date2024-07-17
Business Address
TIARA ROTER BOQUIREN PA-C
3801 N LAMAR BLVD STE 300
AUSTIN, TX 78756-4080
Phone number: 512-206-3600
Mailing Address
TIARA ROTER BOQUIREN PA-C
6115 SULFUR SPRING DR
KILLEEN, TX 76542-5283
Phone number: 808-222-0870