Individual provider · NPI-1
Micah Ryan Bosley, M.D.
Family Medicine · Jersey Village, TX
NPI number1144666785
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1144666785
- Entity type
- Individual (NPI-1)
- Name
- Micah Ryan Bosley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2013
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | Q1797 | TX | Yes |
Practice location
17347 Village Green DrJersey Village, TX 77040-1159
Phone 713-466-0197 · Fax 713-849-3424
Mailing address
Po Box 20771Belfast, ME 04915-4104
Phone 713-466-0197 · Fax 713-849-3424
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